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
BERT BRODAY JR TRUST FBO AMER HEART ASSN
 
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

20-7318362
B Telephone number (see instructions)

(336) 747-8667
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$20,193,049
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... 336,530 334,577  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 905,944
b Gross sales price for all assets on line 6a 3,868,433
7 Capital gain net income (from Part IV, line 2)... 905,944
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)....... 2,524 2,524  
12 Total. Add lines 1 through 11........ 1,244,998 1,243,045  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 137,776 103,332   34,444
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)....... 1,011 0 0 1,011
c Other professional fees (attach schedule).... 48,317 48,317   0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 19,999 10,327   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)....... 2,846 2,846    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 209,949 164,822 0 35,455
25 Contributions, gifts, grants paid....... 800,066 800,066
26 Total expenses and disbursements. Add lines 24 and 25 1,010,015 164,822 0 835,521
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 234,983
b Net investment income (if negative, enter -0-) 1,078,223
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............. 4,185 837 837
2 Savings and temporary cash investments......... 372,370 440,475 440,475
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).......      
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).......... 12,352,468 Click to see attachment12,578,191 19,751,737
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) 12,729,023 13,019,503 20,193,049
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........ 12,729,023 13,019,503
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)..... 12,729,023 13,019,503
30 Total liabilities and net assets/fund balances (see instructions). 12,729,023 13,019,503
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
12,729,023
2
Enter amount from Part I, line 27a .....................
2
234,983
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
60,544
4
Add lines 1, 2, and 3 ..........................
4
13,024,550
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
5,047
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
13,019,503
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 28. CASEYS GEN STORES INC   2014-02-27 2021-01-05
b 666. FIRST HORIZON CORP     2021-01-05
c 87. SPLUNK INC   2016-01-27 2021-01-05
d 155. DPS CHINA MOBILE LIMITED ADR     2021-01-06
e 45. HONEYWELL INTERNATIONAL INC   2020-02-19 2021-01-06
232. ADYEN NV-UNSPON ADR     2021-01-07
91. DPS CHINA MOBILE LIMITED ADR     2021-01-07
51. DPS CHINA MOBILE LIMITED ADR   2020-01-17 2021-01-07
90. PAYPAL HOLDINGS INC     2021-01-07
86. SAREPTA THERAPEUTICS INC     2021-01-08
114. AMERICAN EXPRESS CO     2021-01-13
39. TAIWAN SEMICONDUCTOR MANUFACTU - ADR   2016-09-28 2021-01-13
77. META PLATFORMS INC     2021-01-19
42. CIGNA CORP     2021-01-21
86. INFINEON TECHNOLOGIES AG - ADR     2021-01-22
62. INTEGRA LIFESCIENCES HOLDING     2021-01-22
87. INTEGRA LIFESCIENCES HOLDING     2021-01-22
66. INTER PARFUMS INC     2021-01-22
35. INTER PARFUMS INC   2019-09-06 2021-01-22
91. MANHATTAN ASSOCIATES, INC COM   2009-02-13 2021-01-25
677. FIRST HORIZON CORP     2021-01-28
89. PPG INDUSTRIES INC     2021-01-28
162. CHEWY INC     2021-02-01
29. HOME DEPOT INC     2021-02-01
53. LULULEMON ATHLETICA INC     2021-02-01
36. MASTERCARD INC     2021-02-01
20. TELADOC HEALTH INC   2020-07-30 2021-02-01
24. TESLA INC     2021-02-01
69. VISA INC-CLASS A SHRS     2021-02-01
36. VERTEX PHARMACEUTICALS INC COM   2020-11-05 2021-02-02
7. VERTEX PHARMACEUTICALS INC COM   2020-11-05 2021-02-02
28. VERTEX PHARMACEUTICALS INC COM     2021-02-02
52. CASEYS GEN STORES INC     2021-02-03
108. MANHATTAN ASSOCIATES, INC COM   2009-02-13 2021-02-03
47. ALPHABET INC CL A     2021-02-04
44. S&P GLOBAL INC     2021-02-05
52. HUMANA INC   2021-01-07 2021-02-08
24. LULULEMON ATHLETICA INC   2019-01-07 2021-02-08
15. TAIWAN SEMICONDUCTOR MANUFACTU - ADR   2016-09-28 2021-02-08
85. COLUMBIA SPORTSWEAR CO COM   2020-03-11 2021-02-09
13. LINDE PLC   2018-11-15 2021-02-09
68. TRAVELERS COMPANIES INC     2021-02-10
17. TAIWAN SEMICONDUCTOR MANUFACTU - ADR   2016-09-19 2021-02-11
45. MANHATTAN ASSOCIATES, INC COM   2009-02-13 2021-02-16
90. AMERICAN EXPRESS CO     2021-02-17
214. APPLE INC     2021-02-17
138. APPLE INC     2021-02-17
16. CYRUSONE INC   2020-05-15 2021-02-17
4. SIMON PROPERTY GROUP INC   2017-01-24 2021-02-17
24. STORE CAPITAL CORP     2021-02-17
14. TERRENO REALTY CORP     2021-02-17
5. TERRENO REALTY CORP   2020-04-22 2021-02-17
.99119 AGREE RLTY CORP COM   2020-12-08 2021-02-23
.00881 AGREE RLTY CORP COM   2020-12-08 2021-02-23
3. AMERICAN ASSETS TRUST INC   2020-12-08 2021-02-23
6. AMERICAN HOMES 4 RENT   2020-11-12 2021-02-23
10. APARTMENT INVESTMENT AND MANAG   2017-01-24 2021-02-23
1. AVALONBAY CMNTYS INC   2017-01-24 2021-02-23
1. BRANDYWINE RLTY TR BD   2020-02-03 2021-02-23
1. CAMDEN PPTY TR SH BEN INT   2020-06-30 2021-02-23
4. CUBESMART     2021-02-23
2. DIAMONDROCK HOSPITALITY CO   2020-06-30 2021-02-23
5. EXTRA SPACE STORAGE INC   2017-01-24 2021-02-23
2. HEALTHCARE RLTY TR COM   2020-11-05 2021-02-23
7. HEALTHCARE TRUST OF AME-CL A   2017-05-12 2021-02-23
10. INVITATION HOMES INC   2020-11-12 2021-02-23
2. KILROY REALTY CORP COM   2017-01-24 2021-02-23
2. PS BUSINESS PARKS INC/CA   2020-08-07 2021-02-23
2. PARK HOTELS & RESORTS INC-WI   2020-01-08 2021-02-23
2. PROLOGIS INC   2020-03-20 2021-02-23
1. PUBLIC STORAGE INC COM   2017-01-24 2021-02-23
4. REGENCY CENTERS CORP   2017-01-24 2021-02-23
2. SABRA HEALTH CARE REIT -   2019-05-16 2021-02-23
1. SAUL CTRS INC COM   2017-01-24 2021-02-23
1. SUN CMNTYS INC COM   2020-10-19 2021-02-23
1. WELLTOWER INC   2017-01-24 2021-02-23
113. AMERICAN EXPRESS CO   2020-10-28 2021-02-24
136. HOME DEPOT INC     2021-02-24
34. HOME DEPOT INC     2021-02-24
74. S&P GLOBAL INC     2021-02-24
48. ADIDAS-AG ADR     2021-03-01
25. COSTCO WHOLESALE CORP     2021-03-01
17. COUPA SOFTWARE INC   2020-06-09 2021-03-01
5. COUPA SOFTWARE INC   2020-01-03 2021-03-01
68. PAYPAL HOLDINGS INC     2021-03-01
24. PAYPAL HOLDINGS INC   2020-02-18 2021-03-01
14. TAIWAN SEMICONDUCTOR MANUFACTU - ADR   2016-09-28 2021-03-01
72. TELADOC HEALTH INC     2021-03-01
.474 TESCO PLC ADR   2020-07-24 2021-03-01
85. VERTEX PHARMACEUTICALS INC COM     2021-03-01
90. SALESFORCE INC     2021-03-02
76. ABB LTD - ADR   2016-09-19 2021-03-04
19. TAIWAN SEMICONDUCTOR MANUFACTU - ADR   2016-09-19 2021-03-04
50. CASEYS GEN STORES INC     2021-03-08
44. CORELOGIC INC     2021-03-08
7. SHOPIFY INC - A W/I   2021-02-17 2021-03-10
45. TRAVELERS COMPANIES INC     2021-03-10
102. TELADOC HEALTH INC     2021-03-11
45. TRAVELERS COMPANIES INC     2021-03-11
32. AMERICAN HOMES 4 RENT   2020-11-12 2021-03-12
9. CAMDEN PPTY TR SH BEN INT   2020-06-30 2021-03-12
10. CUBESMART   2020-01-08 2021-03-12
56. DIAMONDROCK HOSPITALITY CO   2020-06-30 2021-03-12
1. EQUITY RESIDENTIAL PPTYS TR SH BEN   2016-09-09 2021-03-12
10. EQUITY RESIDENTIAL PPTYS TR SH BEN   2020-06-05 2021-03-12
7. PROLOGIS INC   2020-03-20 2021-03-12
210. COMPAGNIE DE SAINT-UNSP ADR     2021-03-15
23. TRAVELERS COMPANIES INC   2009-04-01 2021-03-17
359. BEACON ROOFING SUPPLY INC     2021-03-18
311. QBE INSURANCE GROUP-SPN ADR     2021-03-18
405. SALLY BEAUTY CO INC     2021-03-18
45. TRAVELERS COMPANIES INC   2009-04-01 2021-03-18
84. PINNACLE FINL PARTNERS INC     2021-03-19
43. PINNACLE FINL PARTNERS INC   2020-10-23 2021-03-19
46. CASEYS GEN STORES INC   2009-02-13 2021-03-22
196. ADYEN NV-UNSPON ADR   2020-02-03 2021-03-24
47. GOLDMAN SACHS GROUP INC     2021-03-24
34. TWILIO INC   2020-08-18 2021-03-24
29. ATLASSIAN CORP PLC-CLASS A   2020-06-01 2021-03-24
43. COUPA SOFTWARE INC     2021-03-25
138. SPLUNK INC     2021-03-25
21. BLOCK INC   2020-12-24 2021-03-25
11. DASSAULT SYSTEMES S.A. - ADR   2020-12-07 2021-03-30
19. DIAGEO PLC - ADR   2019-02-08 2021-03-30
56. LONZA GROUP AG ADR   2018-05-15 2021-03-30
22. SAP SE     2021-03-30
18. SAP SE   2021-01-22 2021-03-30
32.5266 APARTMENT INVESTMENT AND MANAG   2020-11-30 2021-04-05
130.4734 APARTMENT INVESTMENT AND MANAG     2021-04-05
32. CAMDEN PPTY TR SH BEN INT   2020-06-30 2021-04-05
30. HEALTHCARE RLTY TR COM   2020-11-05 2021-04-05
39. HEALTHCARE TRUST OF AME-CL A   2017-05-12 2021-04-05
88. ISUZU MOTORS LTD-UNSPON ADR   2017-07-28 2021-04-07
47. PPG INDUSTRIES INC   2015-07-29 2021-04-07
79. ABB LTD - ADR   2016-09-19 2021-04-08
45. PPG INDUSTRIES INC     2021-04-08
48. ZOOM VIDEO COMMUNICATIONS INC   2020-10-27 2021-04-12
67. GOLDMAN SACHS GROUP INC     2021-04-14
271. FARFETCH LTD-CLASS A     2021-04-15
271. FARFETCH LTD-CLASS A     2021-04-16
95. NIKE INC CL B     2021-04-20
68. GOLDMAN SACHS GROUP INC     2021-04-21
148. PELOTON INTERACTIVE INC     2021-04-23
141. PELOTON INTERACTIVE INC     2021-04-23
48. BRANDYWINE RLTY TR BD     2021-04-26
5. CAMDEN PPTY TR SH BEN INT   2020-06-30 2021-04-26
11. EQUITY RESIDENTIAL PPTYS TR SH BEN     2021-04-26
3. ESSEX PPTY TR COM   2017-01-24 2021-04-26
9. PS BUSINESS PARKS INC/CA     2021-04-26
8. PROLOGIS INC     2021-04-26
20. STORE CAPITAL CORP   2017-01-24 2021-04-26
74. MANHATTAN ASSOCIATES, INC COM   2009-02-13 2021-04-28
23. MANHATTAN ASSOCIATES, INC COM   2021-03-30 2021-04-28
187. PELOTON INTERACTIVE INC     2021-05-05
86. MEDTRONIC PLC   2015-01-28 2021-05-05
116. RINGCENTRAL INC     2021-05-06
178. COMPAGNIE DE SAINT-UNSP ADR     2021-05-10
223. PROSPERITY BANCSHARES INC     2021-05-12
266. QBE INSURANCE GROUP-SPN ADR   2016-09-19 2021-05-13
341. BANCO BILBAO VIZCAYA ARGENT- ADR   2016-10-20 2021-05-17
58. CARVANA CO     2021-05-18
89. COUPA SOFTWARE INC     2021-05-18
89. MATCH GROUP INC NEW     2021-05-18
25. WORKDAY INC   2016-01-27 2021-05-18
14. WORKDAY INC   2020-05-29 2021-05-18
229. US BANCORP     2021-05-19
22. DENSO CORPORATION - ADR   2020-09-21 2021-05-21
192. APPLE INC     2021-05-26
451. CHEWY INC     2021-05-26
14. SHOPIFY INC - A W/I   2021-02-17 2021-05-26
7. SHOPIFY INC - A W/I   2021-02-03 2021-05-26
362. SNAP INC     2021-05-26
158. US BANCORP     2021-05-26
23. AMERICAN HOMES 4 RENT     2021-05-27
9. AMERICAN HOMES 4 RENT   2020-11-12 2021-05-27
9. AVALONBAY CMNTYS INC   2017-01-24 2021-05-27
9. CAMDEN PPTY TR SH BEN INT   2020-06-30 2021-05-27
7. CHOICE HOTELS INTL INC COM   2020-11-12 2021-05-27
27. COSTCO WHOLESALE CORP     2021-05-27
27. INVITATION HOMES INC     2021-05-27
17. INVITATION HOMES INC   2020-11-12 2021-05-27
170. MANHATTAN ASSOCIATES, INC COM   2009-02-13 2021-05-27
33. NETFLIX.COM INC     2021-05-27
4. PROLOGIS INC   2018-06-19 2021-05-27
30. TESLA INC   2016-01-27 2021-05-27
135. US BANCORP     2021-05-27
229. UBER TECHNOLOGIES INC   2021-03-05 2021-05-27
30. APPLE INC   2020-06-10 2021-05-28
75. APPLE INC     2021-05-28
30. DEXCOM INC     2021-05-28
36. TWILIO INC   2021-05-06 2021-05-28
294. US BANCORP   2016-03-30 2021-06-02
470. CORELOGIC INC     2021-06-04
6. AMAZON COM INC COM     2021-06-07
136. COMPAGNIE DE SAINT-UNSP ADR   2020-01-09 2021-06-07
55. META PLATFORMS INC     2021-06-07
80. APPLE INC     2021-06-08
33. TWILIO INC   2021-05-06 2021-06-08
132. GUARDANT HEALTH INC     2021-06-09
59. ABB LTD - ADR   2016-09-19 2021-06-11
132. KINGFISHER PLC - ADR     2021-06-14
35. AIR LIQUIDE - ADR   2016-09-28 2021-06-15
22. ATLAS COPCO AB ADR   2018-12-14 2021-06-15
59. CHUGAI PHARMACEUTIC-UNSP ADR   2019-02-07 2021-06-15
54. EPIROC AB-UNSP ADR   2019-03-11 2021-06-15
16. HDFC BANK LTD. - ADR   2017-06-22 2021-06-15
17. NOVOZYMES A/S UNSPONS ADR   2018-03-22 2021-06-15
26. ROCHE HOLDINGS LTD - ADR   2016-09-06 2021-06-15
30. ROYAL DUTCH SHELL PLC ADR   2016-09-28 2021-06-15
38. SCHNEIDER ELECTRIC SE - ADR   2019-11-12 2021-06-15
23. SYSMEX CORP-UNSPON ADR   2016-09-28 2021-06-15
14. NVIDIA CORP   2021-04-20 2021-06-17
100. APPLE INC   2019-10-01 2021-06-24
21. AFTERPAY LTD - UNSP ADR   2021-02-01 2021-06-25
65. AMERICAN CAMPUS CMNTYS INC     2021-06-25
19. BOSTON PROPERTIES INC COM     2021-06-25
6. BOSTON PROPERTIES INC COM   2020-06-30 2021-06-25
93. COMPAGNIE DE SAINT-UNSP ADR     2021-06-25
31. EQUITY RESIDENTIAL PPTYS TR SH BEN   2017-01-24 2021-06-25
44. PROLOGIS INC     2021-06-25
.4 ORGANON & CO     2021-06-28
.3 ORGANON & CO   2020-09-17 2021-06-28
93. AFTERPAY LTD - UNSP ADR     2021-06-29
36. ABB LTD - ADR   2016-09-19 2021-06-30
124. AFTERPAY LTD - UNSP ADR   2021-03-05 2021-06-30
26.3 ORGANON & CO     2021-06-30
40.7 ORGANON & CO     2021-06-30
317. ROCHE HOLDINGS LTD - ADR     2021-06-30
7766.99 BLACKROCK GL L/S CREDIT-K #1940   2014-11-12 2021-07-01
9153.318 EV GLBL MACR ABS RTRN-R6 #1071   2016-09-22 2021-07-01
124. TAIWAN SEMICONDUCTOR MANUFACTU - ADR     2021-07-01
64. ZURICH INSURANCE GROUP-ADR   2016-09-19 2021-07-02
9. COSTCO WHOLESALE CORP   2017-11-03 2021-07-07
10. COSTCO WHOLESALE CORP   2021-03-26 2021-07-07
33. ALLIANZ SE - UNSP ADR   2020-04-01 2021-07-12
45. DENSO CORPORATION - ADR     2021-07-12
36. ENI SPA - ADR     2021-07-12
26. MITSUBISHI ELECTRIC-UNSP ADR   2018-05-29 2021-07-12
20. ROYAL DUTCH SHELL PLC ADR   2019-10-15 2021-07-12
17. TOKIO MARINE HOLDINGS INC ADR   2016-09-19 2021-07-12
134. FISERV INC     2021-07-14
18. UNION PACIFIC CORP   2020-06-05 2021-07-14
37. UNION PACIFIC CORP     2021-07-14
79. ZURICH INSURANCE GROUP-ADR   2016-09-19 2021-07-14
26. SPOTIFY TECHNOLOGY SA   2020-07-10 2021-07-16
45. SPOTIFY TECHNOLOGY SA     2021-07-16
18. CYRUSONE INC   2020-05-15 2021-07-20
3. EQUINIX INC     2021-07-20
29. PROLOGIS INC   2017-10-20 2021-07-20
34. RINGCENTRAL INC   2021-06-08 2021-07-20
65. UNION PACIFIC CORP     2021-07-20
77. WELLTOWER INC     2021-07-20
16. WELLTOWER INC     2021-07-20
57. RINGCENTRAL INC   2021-06-08 2021-07-21
32. ABB LTD - ADR     2021-07-22
46. UNION PACIFIC CORP     2021-07-22
368. SAFRAN SA-UNSPON ADR     2021-07-23
33. INTUITIVE SURGICAL INC     2021-07-26
21. INTUITIVE SURGICAL INC   2021-05-27 2021-07-26
60. UNION PACIFIC CORP     2021-07-26
141. INFINEON TECHNOLOGIES AG - ADR   2018-12-14 2021-07-28
18. TRANE TECHNOLOGIES PLC   2018-06-06 2021-07-28
22. TRANE TECHNOLOGIES PLC   2018-06-06 2021-07-29
23. TRANE TECHNOLOGIES PLC     2021-07-30
45000. CITIGROUP INC 2.350% 8/02/21   2018-05-04 2021-08-02
484. SAFRAN SA-UNSPON ADR     2021-08-02
329. QBE INSURANCE GROUP-SPN ADR   2016-09-19 2021-08-03
140. SPOTIFY TECHNOLOGY SA     2021-08-03
82. MATCH GROUP INC NEW     2021-08-05
62. ABB LTD - ADR   2019-01-17 2021-08-09
431. SAFRAN SA-UNSPON ADR     2021-08-11
17. FUJIFILM HLDGS CORP ADR   2018-10-10 2021-08-12
6. BOSTON PROPERTIES INC COM   2020-06-30 2021-08-17
4. SUN CMNTYS INC COM   2021-03-12 2021-08-17
22. WELLTOWER INC     2021-08-17
4. WELLTOWER INC     2021-08-17
126. KERINGIUNSPONSORED ADR   2021-05-28 2021-08-18
103. YETI HOLDINGS INC   2020-08-04 2021-08-18
301. DRIL-QUIP INC COM     2021-08-19
216. DRIL-QUIP INC COM     2021-08-19
2. AMAZON COM INC COM   2020-12-24 2021-08-23
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22. UNIVERSAL HEALTH RLTY INCOME TR SH   2018-03-27 2021-08-24
39. UNIVERSAL HEALTH RLTY INCOME TR SH   2021-03-30 2021-08-24
27. UNIVERSAL HEALTH RLTY INCOME TR SH   2018-03-27 2021-08-25
19. UNIVERSAL HEALTH RLTY INCOME TR SH   2020-10-23 2021-08-25
83. ADYEN NV-UNSPON ADR   2020-06-05 2021-08-30
168. ADYEN NV-UNSPON ADR   2020-09-21 2021-08-30
25. ABB LTD - ADR   2019-01-17 2021-08-31
140. COMPAGNIE DE SAINT-UNSP ADR   2018-12-04 2021-09-01
46. FISERV INC   2016-05-11 2021-09-01
292. ROCHE HOLDINGS LTD - ADR     2021-09-01
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45. FISERV INC   2016-05-11 2021-09-02
84. MATCH GROUP INC NEW     2021-09-03
36. MATCH GROUP INC NEW   2020-11-16 2021-09-03
44. UNIVERSAL HEALTH RLTY INCOME TR SH   2020-10-23 2021-09-03
38. UNIVERSAL HEALTH RLTY INCOME TR SH   2010-04-12 2021-09-03
267. TJX COMPANIES INC     2021-09-07
122. UNIVERSAL HEALTH RLTY INCOME TR SH     2021-09-08
135. ROCHE HOLDINGS LTD - ADR   2018-12-06 2021-09-09
26. LULULEMON ATHLETICA INC   2021-07-20 2021-09-10
135. ROCHE HOLDINGS LTD - ADR   2018-12-06 2021-09-10
45. SONOVA HOLDIN-UNSPON ADR   2016-09-28 2021-09-10
90. FISERV INC     2021-09-15
72. NIKE INC CL B     2021-09-15
23. EXPONENT INC   2020-10-23 2021-09-16
29. EXPONENT INC   2009-02-13 2021-09-16
90. FISERV INC   2016-08-23 2021-09-16
18. FUJIFILM HLDGS CORP ADR     2021-09-16
1. CARVANA CO   2020-07-14 2021-09-17
40. CARVANA CO     2021-09-17
15. META PLATFORMS INC   2020-05-22 2021-09-17
24. META PLATFORMS INC   2020-12-15 2021-09-17
21. AGREE RLTY CORP COM     2021-09-21
15. APARTMENT INCOME REIT CORP     2021-09-21
27. HEALTHCARE TRUST OF AME-CL A     2021-09-21
23. INVITATION HOMES INC     2021-09-21
5. PROLOGIS INC   2017-01-24 2021-09-21
7. SIMON PROPERTY GROUP INC   2017-01-24 2021-09-21
6. WELLTOWER INC   2020-10-19 2021-09-21
58. WELLTOWER INC   2020-06-30 2021-09-21
46. TRANE TECHNOLOGIES PLC   2017-11-28 2021-09-23
13. FUJIFILM HLDGS CORP ADR     2021-09-24
242. NATURGY ENERGY GROUP SA-ADR   2020-10-26 2021-09-24
45. TRANE TECHNOLOGIES PLC   2017-11-28 2021-09-24
68. PNC FINANCIAL SERVICES GROUP   2016-06-08 2021-09-29
270. NATURGY ENERGY GROUP SA-ADR     2021-09-30
179. NATURGY ENERGY GROUP SA-ADR   2020-10-26 2021-09-30
22. BP PLC - ADR   2020-02-19 2021-10-01
19. HONDA MOTOR CO., LTD. - ADR   2016-09-19 2021-10-01
250. LLOYDS BANKING GROUP PLC - ADR     2021-10-01
54. DASSAULT SYSTEMES S.A. - ADR   2019-12-19 2021-10-04
10. DASSAULT SYSTEMES S.A. - ADR   2020-12-07 2021-10-04
222. NATURGY ENERGY GROUP SA-ADR     2021-10-05
46. AON PLC   2019-03-13 2021-10-06
32. ENI SPA - ADR   2016-10-04 2021-10-07
106. COMPAGNIE DE SAINT-UNSP ADR     2021-10-11
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32. TWILIO INC   2021-05-06 2021-10-12
39. CARVANA CO     2021-10-13
29. META PLATFORMS INC   2020-05-22 2021-10-14
9. PAYPAL HOLDINGS INC     2021-10-14
26. PAYPAL HOLDINGS INC   2021-07-28 2021-10-14
272. UBER TECHNOLOGIES INC     2021-10-14
6. EQUINIX INC   2017-01-24 2021-10-15
43. META PLATFORMS INC     2021-10-15
93. HEALTHCARE TRUST OF AME-CL A     2021-10-15
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60. LVMH MOET HENNESSY UNSP ADR - ADR   2021-02-01 2021-10-18
72. CHOICE HOTELS INTL INC COM     2021-10-20
120. HOULIHAN LOKEY INC     2021-10-20
112. PERFICIENT INC   2021-05-17 2021-10-20
48. VISA INC-CLASS A SHRS   2021-07-21 2021-10-20
252. ADYEN NV-UNSPON ADR     2021-10-21
43. NVIDIA CORP   2021-05-21 2021-10-22
11. TAIWAN SEMICONDUCTOR MANUFACTU - ADR   2016-09-19 2021-10-22
40. TARGET CORP     2021-10-22
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10. SHOPIFY INC - A W/I     2021-10-26
42. BLOCK INC   2021-08-05 2021-10-26
38. CARVANA CO     2021-10-27
59. META PLATFORMS INC     2021-10-28
67. PAYPAL HOLDINGS INC     2021-10-28
70. TWILIO INC     2021-10-29
8. TWILIO INC   2021-05-06 2021-10-29
41. VISA INC-CLASS A SHRS     2021-11-01
49. VISA INC-CLASS A SHRS     2021-11-01
43. BLOCK INC     2021-11-02
10. TAIWAN SEMICONDUCTOR MANUFACTU - ADR   2016-09-19 2021-11-02
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22. META PLATFORMS INC   2014-10-29 2021-11-03
30. VISA INC-CLASS A SHRS   2016-01-27 2021-11-03
6. ALPHABET INC CL C     2021-11-04
26. AMERICAN ASSETS TRUST INC     2021-11-04
31. AMERICAN ASSETS TRUST INC     2021-11-04
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23. COUSINS PROPERTIES INC   2019-07-16 2021-11-04
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14. PROLOGIS INC   2017-01-24 2021-11-04
4. AMAZON COM INC COM     2021-11-08
47. EATON CORP PLC   2017-11-08 2021-11-10
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48. NASDAQ, INC   2013-12-12 2021-11-17
23. THERMO FISHER SCIENTIFIC INC   2020-11-04 2021-11-17
58. VISA INC-CLASS A SHRS   2016-01-27 2021-11-17
46. ACCENTURE PLC   2009-02-10 2021-11-17
23. NASDAQ, INC   2013-12-12 2021-11-18
15. NVIDIA CORP     2021-11-18
21. NVIDIA CORP   2021-05-21 2021-11-18
76. TRADE DESK INC/THE   2020-06-09 2021-11-18
119. INTER PARFUMS INC     2021-11-19
87. QUALYS INC   2021-02-17 2021-11-19
528. RAVEN INDS INC     2021-11-30
111. VITESCO TECHNOLOGIES GROUP AG ADR     2021-11-30
317. INTEL CORP     2021-12-01
93. CHUBB LTD     2021-12-01
20. ADOBE SYS INC   2021-07-27 2021-12-02
15. CHOICE HOTELS INTL INC COM   2016-08-16 2021-12-02
52. PINNACLE FINL PARTNERS INC   2014-10-13 2021-12-02
148. YETI HOLDINGS INC     2021-12-02
200. DOCUSIGN INC     2021-12-03
176. COMPAGNIE DE SAINT-UNSP ADR   2018-11-13 2021-12-06
27. CYRUSONE INC     2021-12-06
15. WELLTOWER INC   2018-04-19 2021-12-06
29. ALIBABA GROUP HOLDING LTD ADR   2020-05-12 2021-12-08
11. ALIBABA GROUP HOLDING LTD ADR   2021-02-08 2021-12-08
57. META PLATFORMS INC     2021-12-08
338. INTEL CORP     2021-12-08
242. EMERGENT BIOSOLUTIONS INC     2021-12-09
108. EMERGENT BIOSOLUTIONS INC     2021-12-09
105. HOULIHAN LOKEY INC     2021-12-09
55. FUCHS PETROLUB SE-PREF ADR   2016-09-28 2021-12-14
58. FUCHS PETROLUB SE-PREF ADR   2016-09-28 2021-12-15
67. KIMBERLY CLARK CORP COM     2021-12-15
100. TAIWAN SEMICONDUCTOR MANUFACTU - ADR     2021-12-15
8. ADOBE SYS INC     2021-12-16
1535. ITAU UNIBANCO H-SPON PRF ADR     2021-12-16
99. CARVANA CO     2021-12-17
22. META PLATFORMS INC   2013-07-25 2021-12-20
39. CORESITE REALTY CORP     2021-12-27
45. TWILIO INC     2021-12-27
100000. US TREASURY NOTE 2.000% 2/15/22     2021-12-30
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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    
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    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(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 5,013   1,890 3,123
b 8,680   9,360 -680
c 14,390   4,194 10,196
d 4,234   9,157 -4,923
e 9,594   8,153 1,441
9,748   4,413 5,335
2,365   4,757 -2,392
1,326   2,198 -872
20,951   17,513 3,438
7,355   13,341 -5,986
14,015   11,427 2,588
4,677   1,181 3,496
19,774   22,696 -2,922
9,577   8,209 1,368
3,623   1,721 1,902
4,282   2,894 1,388
6,009   4,881 1,128
3,892   3,030 862
2,064   2,276 -212
10,693   352 10,341
9,584   7,636 1,948
12,622   9,632 2,990
16,389   9,244 7,145
7,797   5,842 1,955
17,489   8,765 8,724
11,491   3,143 8,348
5,267   4,571 696
19,532   937 18,595
13,606   14,047 -441
7,884   7,851 33
1,535   1,527 8
6,139   3,379 2,760
9,705   2,422 7,283
12,907   418 12,489
96,526   10,487 86,039
14,368   9,345 5,023
19,648   23,066 -3,418
8,114   3,207 4,907
1,988   454 1,534
8,754   5,856 2,898
3,333   2,025 1,308
10,013   3,492 6,521
2,343   510 1,833
6,196   174 6,022
11,665   8,930 2,735
27,874   28,064 -190
17,981   17,144 837
1,121   1,108 13
433   741 -308
789   620 169
833   720 113
298   264 34
64   66 -2
1   1  
95   89 6
189   177 12
50   580 -530
181   176 5
12   16 -4
106   92 14
150   124 26
19   11 8
643   377 266
59   61 -2
195   205 -10
299   286 13
123   149 -26
289   275 14
44   49 -5
209   134 75
243   222 21
219   284 -65
36   38 -2
37   64 -27
155   146 9
71   68 3
15,642   10,344 5,298
34,649   10,598 24,051
8,662   5,859 2,803
24,193   15,338 8,855
8,487   5,622 2,865
8,307   4,346 3,961
5,956   3,825 2,131
1,752   808 944
18,477   11,408 7,069
6,521   3,644 2,877
1,801   424 1,377
16,303   15,683 620
4   5 -1
17,884   9,774 8,110
19,478   6,228 13,250
2,238   1,677 561
2,323   570 1,753
10,122   1,519 8,603
3,475   1,606 1,869
7,639   10,147 -2,508
6,995   2,260 4,735
19,274   18,824 450
6,918   2,052 4,866
1,020   946 74
950   824 126
376   307 69
598   309 289
73   63 10
728   665 63
702   469 233
2,414   1,725 689
3,598   952 2,646
19,480   15,580 3,900
2,340   2,426 -86
8,426   11,259 -2,833
7,187   1,863 5,324
7,854   4,691 3,163
4,020   1,944 2,076
9,637   938 8,699
8,818   3,699 5,119
15,593   5,388 10,205
11,411   8,505 2,906
6,193   5,504 689
10,545   6,690 3,855
18,383   6,581 11,802
4,346   4,782 -436
2,332   2,059 273
3,162   2,934 228
3,159   1,483 1,676
2,672   2,360 312
2,186   2,298 -112
206   1,248 -1,042
827   7,463 -6,636
3,542   2,930 612
942   917 25
1,097   1,136 -39
955   1,131 -176
7,013   5,084 1,929
2,486   1,743 743
6,672   4,850 1,822
15,343   24,985 -9,642
22,590   6,599 15,991
14,137   17,324 -3,187
13,419   16,983 -3,564
12,066   13,363 -1,297
22,575   6,146 16,429
15,260   21,537 -6,277
14,148   16,073 -1,925
645   755 -110
600   458 142
824   692 132
893   695 198
1,473   1,217 256
921   516 405
719   502 217
10,634   286 10,348
3,305   2,700 605
15,598   15,594 4
10,897   6,511 4,386
30,601   46,748 -16,147
2,415   1,433 982
16,349   9,942 6,407
2,163   1,934 229
2,054   2,303 -249
13,153   16,375 -3,222
20,355   12,695 7,660
12,442   13,636 -1,194
5,700   1,653 4,047
3,192   2,516 676
13,731   9,975 3,756
743   471 272
24,373   18,896 5,477
33,694   22,374 11,320
17,575   20,293 -2,718
8,787   11,522 -2,735
21,999   23,910 -1,911
9,389   6,586 2,803
861   600 261
337   266 71
1,843   1,587 256
1,130   824 306
840   679 161
10,402   9,363 1,039
975   642 333
614   487 127
22,991   658 22,333
16,574   6,129 10,445
470   255 215
18,587   1,158 17,429
8,244   5,571 2,673
11,560   11,914 -354
3,754   2,642 1,112
9,385   4,447 4,938
11,226   5,202 6,024
12,250   11,033 1,217
17,862   12,093 5,769
37,600   15,917 21,683
19,143   19,837 -694
1,901   1,083 818
18,482   15,238 3,244
10,135   4,552 5,583
10,351   10,114 237
15,297   9,334 5,963
2,035   1,302 733
1,275   1,194 81
1,228   642 586
1,382   511 871
1,212   620 592
1,220   531 689
1,233   704 529
1,255   881 374
1,245   822 423
1,204   1,550 -346
1,223   735 488
1,221   861 360
10,489   8,480 2,009
13,344   5,666 7,678
2,043   2,250 -207
3,090   2,251 839
2,256   2,467 -211
712   533 179
1,240   693 547
2,409   1,951 458
5,340   2,579 2,761
12   17 -5
9   12 -3
8,455   9,475 -1,020
1,223   795 428
11,104   10,850 254
808   1,023 -215
1,250   1,578 -328
14,968   10,267 4,701
80,000   84,901 -4,901
80,000   81,192 -1,192
14,732   16,066 -1,334
2,551   1,653 898
3,650   1,497 2,153
4,055   3,465 590
828   553 275
1,534   963 571
860   1,091 -231
698   753 -55
791   1,166 -375
792   650 142
14,766   7,146 7,620
3,962   3,363 599
8,144   7,527 617
3,143   2,041 1,102
6,332   7,159 -827
10,959   14,805 -3,846
1,331   1,232 99
2,518   1,272 1,246
3,710   1,666 2,044
8,961   8,629 332
14,073   12,107 1,966
6,703   5,171 1,532
1,393   1,030 363
15,160   14,465 695
1,152   694 458
10,197   7,300 2,897
12,592   13,690 -1,098
31,639   16,940 14,699
20,134   17,720 2,414
13,153   8,656 4,497
5,270   2,800 2,470
3,586   1,244 2,342
4,419   1,521 2,898
4,663   1,579 3,084
45,000   43,641 1,359
15,989   17,795 -1,806
2,649   2,392 257
30,473   31,311 -838
12,030   12,054 -24
2,278   1,179 1,099
13,877   15,616 -1,739
1,223   754 469
694   532 162
785   585 200
1,878   1,375 503
341   224 117
10,524   11,550 -1,026
10,016   5,186 4,830
6,901   15,899 -8,998
4,953   6,124 -1,171
6,511   6,386 125
9,767   9,493 274
1,295   1,280 15
2,296   2,728 -432
1,599   1,571 28
1,125   1,087 38
2,675   1,084 1,591
5,414   2,999 2,415
925   475 450
2,020   1,026 994
5,427   2,437 2,990
14,602   9,309 5,293
75,510   73,758 1,752
5,202   2,384 2,818
12,383   8,850 3,533
5,307   4,853 454
2,547   2,517 30
2,200   1,247 953
18,696   18,563 133
6,778   3,881 2,897
6,392   4,239 2,153
10,880   9,957 923
6,314   4,239 2,075
3,556   1,262 2,294
9,700   4,712 4,988
11,289   9,940 1,349
2,667   1,725 942
3,363   167 3,196
9,751   4,667 5,084
1,629   793 836
333   131 202
13,311   9,115 4,196
5,524   3,473 2,051
8,839   6,471 2,368
1,478   1,391 87
749   485 264
827   776 51
923   505 418
649   263 386
917   1,296 -379
521   322 199
5,041   3,005 2,036
8,555   3,092 5,463
1,144   556 588
1,206   997 209
8,285   3,025 5,260
13,503   6,085 7,418
1,344   1,035 309
891   738 153
607   796 -189
580   553 27
603   1,120 -517
2,770   1,756 1,014
513   374 139
1,105   839 266
13,294   7,711 5,583
857   926 -69
1,460   771 689
364,965   370,446 -5,481
10,319   9,807 512
10,978   5,036 5,942
9,526   6,715 2,811
2,387   1,347 1,040
6,897   7,849 -952
12,828   13,937 -1,109
4,681   2,325 2,356
13,913   9,242 4,671
3,094   2,481 613
2,276   1,396 880
9,059   7,476 1,583
9,619   3,570 6,049
12,481   7,126 5,355
14,105   7,976 6,129
11,127   11,717 -590
7,872   2,335 5,537
9,711   6,500 3,211
1,263   330 933
10,273   7,928 2,345
1,076   588 488
14,012   17,189 -3,177
11,275   12,061 -786
11,232   4,801 6,431
18,477   8,269 10,208
15,679   9,890 5,789
19,967   12,791 7,176
2,282   2,452 -170
8,755   3,979 4,776
10,464   11,533 -1,069
10,874   11,793 -919
1,138   300 838
10   14 -4
7,208   1,666 5,542
6,221   2,166 4,055
17,931   16,084 1,847
996   664 332
1,188   910 278
1,132   722 410
1,160   882 278
902   850 52
989   695 294
2,063   736 1,327
14,081   11,836 2,245
8,129   3,421 4,708
7,686   2,802 4,884
10,108   1,860 8,248
14,688   11,699 2,989
11,813   4,188 7,625
17,209   1,508 15,701
4,805   891 3,914
4,794   701 4,093
6,711   3,175 3,536
8,115   2,777 5,338
11,057   5,281 5,776
11,977   8,990 2,987
30,624   9,904 20,720
975   1,585 -610
15,843   19,521 -3,678
16,856   14,145 2,711
13,378   12,300 1,078
2,167   736 1,431
5,052   1,833 3,219
12,993   7,031 5,962
27,776   48,770 -20,994
2,319   1,260 1,059
2,404   1,829 575
1,248   774 474
3,583   5,920 -2,337
1,359   2,890 -1,531
18,895   2,186 16,709
17,427   20,189 -2,762
9,740   14,965 -5,225
4,347   10,319 -5,972
10,630   5,723 4,907
600   632 -32
632   666 -34
9,309   9,406 -97
11,755   11,757 -2
4,635   4,539 96
5,812   11,034 -5,222
20,960   11,970 8,990
7,143   728 6,415
6,630   4,210 2,420
11,903   5,925 5,978
100,250   100,556 -306
      32,008
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      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
      32,008
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       3,123
b       -680
c       10,196
d       -4,923
e       1,441
      5,335
      -2,392
      -872
      3,438
      -5,986
      2,588
      3,496
      -2,922
      1,368
      1,902
      1,388
      1,128
      862
      -212
      10,341
      1,948
      2,990
      7,145
      1,955
      8,724
      8,348
      696
      18,595
      -441
      33
      8
      2,760
      7,283
      12,489
      86,039
      5,023
      -3,418
      4,907
      1,534
      2,898
      1,308
      6,521
      1,833
      6,022
      2,735
      -190
      837
      13
      -308
      169
      113
      34
      -2
       
      6
      12
      -530
      5
      -4
      14
      26
      8
      266
      -2
      -10
      13
      -26
      14
      -5
      75
      21
      -65
      -2
      -27
      9
      3
      5,298
      24,051
      2,803
      8,855
      2,865
      3,961
      2,131
      944
      7,069
      2,877
      1,377
      620
      -1
      8,110
      13,250
      561
      1,753
      8,603
      1,869
      -2,508
      4,735
      450
      4,866
      74
      126
      69
      289
      10
      63
      233
      689
      2,646
      3,900
      -86
      -2,833
      5,324
      3,163
      2,076
      8,699
      5,119
      10,205
      2,906
      689
      3,855
      11,802
      -436
      273
      228
      1,676
      312
      -112
      -1,042
      -6,636
      612
      25
      -39
      -176
      1,929
      743
      1,822
      -9,642
      15,991
      -3,187
      -3,564
      -1,297
      16,429
      -6,277
      -1,925
      -110
      142
      132
      198
      256
      405
      217
      10,348
      605
      4
      4,386
      -16,147
      982
      6,407
      229
      -249
      -3,222
      7,660
      -1,194
      4,047
      676
      3,756
      272
      5,477
      11,320
      -2,718
      -2,735
      -1,911
      2,803
      261
      71
      256
      306
      161
      1,039
      333
      127
      22,333
      10,445
      215
      17,429
      2,673
      -354
      1,112
      4,938
      6,024
      1,217
      5,769
      21,683
      -694
      818
      3,244
      5,583
      237
      5,963
      733
      81
      586
      871
      592
      689
      529
      374
      423
      -346
      488
      360
      2,009
      7,678
      -207
      839
      -211
      179
      547
      458
      2,761
      -5
      -3
      -1,020
      428
      254
      -215
      -328
      4,701
      -4,901
      -1,192
      -1,334
      898
      2,153
      590
      275
      571
      -231
      -55
      -375
      142
      7,620
      599
      617
      1,102
      -827
      -3,846
      99
      1,246
      2,044
      332
      1,966
      1,532
      363
      695
      458
      2,897
      -1,098
      14,699
      2,414
      4,497
      2,470
      2,342
      2,898
      3,084
      1,359
      -1,806
      257
      -838
      -24
      1,099
      -1,739
      469
      162
      200
      503
      117
      -1,026
      4,830
      -8,998
      -1,171
      125
      274
      15
      -432
      28
      38
      1,591
      2,415
      450
      994
      2,990
      5,293
      1,752
      2,818
      3,533
      454
      30
      953
      133
      2,897
      2,153
      923
      2,075
      2,294
      4,988
      1,349
      942
      3,196
      5,084
      836
      202
      4,196
      2,051
      2,368
      87
      264
      51
      418
      386
      -379
      199
      2,036
      5,463
      588
      209
      5,260
      7,418
      309
      153
      -189
      27
      -517
      1,014
      139
      266
      5,583
      -69
      689
      -5,481
      512
      5,942
      2,811
      1,040
      -952
      -1,109
      2,356
      4,671
      613
      880
      1,583
      6,049
      5,355
      6,129
      -590
      5,537
      3,211
      933
      2,345
      488
      -3,177
      -786
      6,431
      10,208
      5,789
      7,176
      -170
      4,776
      -1,069
      -919
      838
      -4
      5,542
      4,055
      1,847
      332
      278
      410
      278
      52
      294
      1,327
      2,245
      4,708
      4,884
      8,248
      2,989
      7,625
      15,701
      3,914
      4,093
      3,536
      5,338
      5,776
      2,987
      20,720
      -610
      -3,678
      2,711
      1,078
      1,431
      3,219
      5,962
      -20,994
      1,059
      575
      474
      -2,337
      -1,531
      16,709
      -2,762
      -5,225
      -5,972
      4,907
      -32
      -34
      -97
      -2
      96
      -5,222
      8,990
      6,415
      2,420
      5,978
      -306
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 905,944
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 14,987
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 14,987
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 16
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 15,166
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 15,182
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 10 195
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet195 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)
    bulletTX
    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
    Yes
     
    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 NA TRUSTEE
    1
    137,776    
    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
    19,364,011
    b
    Average of monthly cash balances.......................
    1b
    324,253
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    19,688,264
    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
    19,688,264
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    295,324
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    19,392,940
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    969,647
    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
    969,647
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    14,987
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    14,987
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    954,660
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    954,660
    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
    954,660
    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 7 954,660
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 19,508
    f Total of lines 3a through e ........ 19,508
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 835,521
    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..... 835,521
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 19,508 19,508
    (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 ..........
    99,631
    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 HEART ASSOCIATION
    11207 BLUE HERON BLVD N
    ST PETERSBURG,FL33716
    NONE PC GENERAL OPERATING 800,066
    Total .................................bullet 3a 800,066
    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 ............
        18 905,944  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aOTHER INCOME
        1 92  
    bROYALTY INCOME     1 2,432  
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   1,244,998  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,244,998
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    BERT BRODAY JR TRUST FBO AMER HEART ASSN
    EIN:
    20-7318362
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,011     1,011

    TY 2021 InvestmentsOtherSchedule2
    Name:
    BERT BRODAY JR TRUST FBO AMER HEART ASSN
    EIN:
    20-7318362
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SEE ATTACHED AT COST 12,578,191 19,751,737

    TY 2021 OtherDecreasesSchedule
    Name:
    BERT BRODAY JR TRUST FBO AMER HEART ASSN
    EIN:
    20-7318362
    Description Amount
    PY RETURN OF CAPITAL ADJ 4,214
    TAX LOT BASIS ADJ 70
    COST BASIS ADJ 763


    TY 2021 OtherExpensesSchedule
    Name:
    BERT BRODAY JR TRUST FBO AMER HEART ASSN
    EIN:
    20-7318362
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADR FEES 1,646 1,646   0
    ROYALTY EXPENSES 1,200 1,200   0


    TY 2021 OtherIncomeSchedule2
    Name:
    BERT BRODAY JR TRUST FBO AMER HEART ASSN
    EIN:
    20-7318362
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INCOME 92 92  
    ROYALTY INCOME 2,432 2,432  


    TY 2021 OtherIncreasesSchedule
    Name:
    BERT BRODAY JR TRUST FBO AMER HEART ASSN
    EIN:
    20-7318362
    Description Amount
    MUTUAL FUND TIMING ADJ 18,037
    PY PENDING SALES 42,507


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    BERT BRODAY JR TRUST FBO AMER HEART ASSN
    EIN:
    20-7318362
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMNT MNGMNT FEES (NON-DED 48,317 48,317    


    TY 2021 TaxesSchedule
    Name:
    BERT BRODAY JR TRUST FBO AMER HEART ASSN
    EIN:
    20-7318362
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 8,312 8,312   0
    FEDERAL TAX PAYMENT - PRIOR YE 9,672 0   0
    FOREIGN TAXES ON QUALIFIED FOR 574 574   0
    FOREIGN TAXES ON NONQUALIFIED 1,441 1,441   0