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
Daniel J and Amy S Willis Charitable Foundation
 
Number and street (or P.O. box number if mail is not delivered to street address)5510 N KENWOOD AVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
INDIANAPOLIS, IN46208
A Employer identification number

81-6937849
B Telephone number (see instructions)

(602) 312-4496
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$14,084,617
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... 118,703 118,703  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 79,940
b Gross sales price for all assets on line 6a 6,751,790
7 Capital gain net income (from Part IV, line 2)... 79,940
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances 0
b Less: Cost of goods sold.... 0
c Gross profit or (loss) (attach schedule)..... 0  
11 Other income (attach schedule)....... 460,185 219,238 0
12 Total. Add lines 1 through 11........ 658,828 417,881 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 0 0 0 0
b Accounting fees (attach schedule)....... 0 0 0 0
c Other professional fees (attach schedule).... 31,571 31,571 0 0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 5,100 100 0 0
19 Depreciation (attach schedule) and depletion... 7,166 7,166 0
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 73,204 73,204 0 0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 117,041 112,041 0 0
25 Contributions, gifts, grants paid....... 610,000 610,000
26 Total expenses and disbursements. Add lines 24 and 25 727,041 112,041 0 610,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -68,213
b Net investment income (if negative, enter -0-) 305,840
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......... 3,665,950 460,638 460,638
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet   0 0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet   0 0 0
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)..... 0 0 0
7 Other notes and loans receivable (attach schedule) bullet0
Less: allowance for doubtful accounts bullet0 0 0 0
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 0 0 0
b Investments—corporate stock (attach schedule)....... 987,302 Click to see attachment3,080,902 3,300,753
c Investments—corporate bonds (attach schedule)....... 3,843,325 Click to see attachment3,610,858 4,784,205
11 Investments—land, buildings, and equipment: basis bullet0
Less: accumulated depreciation (attach schedule) bullet0 0   0
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 4,094,473 Click to see attachment5,426,945 5,539,021
14 Land, buildings, and equipment: basis bullet0
Less: accumulated depreciation (attach schedule) bullet0 0   0
15 Other assets (describe bullet) 0 0 0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 12,591,050 12,579,343 14,084,617
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons 0 0
21 Mortgages and other notes payable (attach schedule)...... 0 0
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 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........ 13,500,044 13,500,044
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds -908,994 -920,701
29 Total net assets or fund balances (see instructions)..... 12,591,050 12,579,343
30 Total liabilities and net assets/fund balances (see instructions). 12,591,050 12,579,343
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
12,591,050
2
Enter amount from Part I, line 27a .....................
2
-68,213
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
61,593
4
Add lines 1, 2, and 3 ..........................
4
12,584,430
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
5,087
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
12,579,343
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 Cap gain distributions-Ameritrade P    
b Publicly Traded Securities P    
c Sec 1256 closed contracts P    
d Arctrust P    
e Mill Green liquidation 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 667     667
b 6,279,478   6,215,451 64,027
c     11,742 -11,742
d 903     903
e 470,742   444,657 26,085
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     0 667
b     0 64,027
c     0 -11,742
d     0 903
e     0 26,085
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 79,940
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 0
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  
3 Add lines 1 and 2........................... 3 4,251
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,251
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 10,338
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c 5,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 15,338
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 11,087
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet11,087 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)
    bulletIN
    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 ofbulletDANIEL J WILLIS Telephone no.bullet (602) 312-4496

    Located atbullet5510 N KENWOOD AVEINDIANAPOLISIN ZIP+4bullet46208
    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)
     
    No
    (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
     
     
    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
    Daniel J Willis Trustee
    1.000
    0 0 0
    5510 N KENWOOD AVE
    INDIANAPOLIS,IN46208
    Amy S Willis Trustee
    1.000
    0 0 0
    5510 N KENWOOD AVE
    INDIANAPOLIS,IN46208
    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
     
    Total number of other employees paid over $50,000...................bullet  
    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
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    5,786,204
    b
    Average of monthly cash balances.......................
    1b
    3,584,610
    c
    Fair market value of all other assets (see instructions)................
    1c
    5,539,020
    d
    Total (add lines 1a, b, and c).........................
    1d
    14,909,834
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    14,909,834
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    223,648
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    14,686,186
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    734,309
    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
    734,309
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,251
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,251
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    730,058
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    730,058
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    730,058
    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 7 730,058
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:2019, 2018, 2017 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 263,851
    e From 2020...... 0
    f Total of lines 3a through e ........ 263,851
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 610,000
    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..... 610,000
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 120,058 120,058
    (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 5 143,793
    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......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    143,793
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 143,793
    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).)
    Daniel J Willis Trustee
    Amy S Willis Trustee
    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
    The Indianapolis Colts Foundation Inc
    7001 West 56th St
    Indianapolis,IN46254
    None PC To support general operations 25,000
    International School of Indiana
    4330 N Michigan Rd
    Indianapolis,IN46208
    NONE PC To support general operations 50,000
    Indianapolis Symphony Orchestra
    32 E Washington St Suite 600
    Indianapolis,IN46204
    None PC To support general operations 10,000
    EdChoice
    111 Monument Circle Suite 2650
    Indianapolis,IN46204
    None PC To support general operations 5,000
    Indianapolis Zoological Society
    1200 W Washington St
    Indianapolis,IN46222
    None PC To support general operations 500,000
    Watson Rare Native Plant Preserve
    PO Box 533
    Warren,TX77664
    None PC To support general operations 10,000
    Heritage Village Museum
    206 US Hwy 190
    Woodville,TX75979
    None PC To support general operations 10,000
    Total .................................bullet 3a 610,000
    bApproved for future payment
    Total .................................bullet 3b 0
    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 79,939  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aPass-through entities
    901101 223,658   219,238  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 223,658 417,880 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    641,538
    (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: 21014044
    Software Version: 2021v4.2


    Form 990PF - Special Condition Description:
    Special Condition Description

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

    TY 2021 DepreciationSchedule
    Name:
    Daniel J and Amy S Willis Charitable Foundation
    EIN:
    81-6937849
    Software ID:
    21014044
    Software Version:
    2021v4.2
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    Passthrough entities           7,166 7,166    

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    Daniel J and Amy S Willis Charitable Foundation
    EIN:
    81-6937849
    Software ID:
    21014044
    Software Version:
    2021v4.2
    Name of Bond End of Year Book Value End of Year Fair Market Value
    Comm serv select sector spd (XLC) 42,619 41,870
    FINL SELECT SECTOR SPDR TR (XLF) 94,407 117,423
    ISHARES COre S&P 500 ETF (IVV) 526,793 851,904
    ISHARES CORE U.S. Aggregate (AGG) 592,063 595,041
    Materials Select Sector SPD (XLB) 18,172 20,115
    Schwab US Aggregate Bond ET (SCHZ) 426,764 427,966
    SECTOR SPDR TR SHS BEN INT- (XLV) 101,104 113,698
    Sector SPDR Tr SHS Ben Int (XLY) 0 0
    Select Sector SPDR Trust EN (XLE) 3,471 5,384
    SPDR BLOOMBERG 1-3 MONTH T- (BIL) 430,284 429,812
    SPDR S&P 500 ETF TR (SPY) 626,770 1,014,040
    Utilities Select Sector SPD (XLU) 0 0
    Vanguard S&P 500 ETF (VOO) 748,411 1,166,952

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    Daniel J and Amy S Willis Charitable Foundation
    EIN:
    81-6937849
    Software ID:
    21014044
    Software Version:
    2021v4.2
    Name of Stock End of Year Book Value End of Year Fair Market Value
    SPY Mar 19 2021 325.0 Put - OPTIONS CALL 0 0
    AGNICO EAGLE MINES LTD (AEM) 11,653 9,618
    ALLSTATE CORP 5.1% PFD SERI (ALL-H) 69,355 77,617
    AXON ENTERPRISE INC (AAXN) 0 0
    BANK OF AMERICA CORP 5% SER (BAC-N) 69,847 77,507
    BARRICK GOLD CORP (GOLD) 11,452 9,633
    BHP GROUP LTD SP ADR (BHP) 3,755 6,035
    BRINKS COMPANY (THE) (BCO) 0 0
    CREE INC (CREE) 0 0
    DARLING INGREDIENTS (DAR) 0 0
    DECKERS OUTDOOR CORP (DECK) 0 0
    DHT HOLDINGS INC (DHT) 6,975 6,882
    DORIAN LPG LIMITED (LPG) 4,108 6,776
    EURONAV (EURN) 7,518 7,530
    EVERCORE INC A (EVR) 0 0
    FIRST MAJESTIC SILVER CORP (AG) 7,976 8,110
    HALOZYME THERAPEUTICS, INC. (HALO) 0 0
    HANCOCK WHITNEY CORPORATION (HWC) 0 0
    HARLEY DAVIDSON INC (HOG) 0 0
    JANUS HENDERSON GROUP PLC (JHG) 0 0
    JPMORGAN CHASE & CO (JPM-H) 0 0
    MILLER HERMAN INC (MLHR) 0 0
    NCR CORP (NCR) 0 0
    NEWMONT CORPORATION (NEM) 11,649 12,466
    PINNACLE FINL PARTNERS (PNFP) 0 0
    RYDER SYSTEM INC (R) 6,762 6,842
    SCORPIO TANKERS INC (STNG) 5,300 5,393
    SLM CORP (SLM) 28,900 31,157
    SYNOVUS FINANCIAL (SNV) 0 0
    TEEKAY TANKERS LTD CL A (TNK) 8,338 6,583
    TEREX CORP (TEX) 0 0
    US STEEL CORP (X) 0 0
    VALERO ENERGY CORP (VLO) 150,285 242,230
    VISTEON CORPORATION (VC) 0 0
    YELP INC (YELP) 0 0
    3M COMPANY (MMM) 22,619 22,559
    ABBVIE INC (ABBV) 20,302 22,612
    ALTRIA GROUP INC (MO) 18,874 20,093
    ARCHER-DANIELS-MIDLAND CO (ADM) 15,841 16,830
    AT&T INC (T) 15,832 16,654
    AVIS BUDGET GROUP INC (CAR) 32,171 76,105
    BANK OF AMERICA CORP (BAC) 24,137 24,113
    BEST BUY INC (BBY) 7,465 7,214
    BLOCK H & R INC (HRB) 32,222 29,544
    BRISTOL-MYERS SQUIBB CO (BMY) 18,844 20,576
    BROADCOM INC (AVGO) 13,027 15,304
    CAMDEN PPTY TR (CPT) 32,126 42,883
    CHEMOURS COMPANY (CC) 30,195 28,325
    CHEVRON CORP (CVX) 14,263 14,317
    CITIGROUP INC (C) 18,820 17,996
    CLEVELAND-CLIFFS INC (CLF) 32,415 30,674
    COMERICA INC (CMA) 12,802 13,137
    COMMVAULT SYSTEMS INC (CVLT) 32,256 27,775
    CONSUMER DISCRETIONARY SELE (XLY) 45,295 53,359
    CONSUMER STAPLES SELECT SEC (XLP) 12,292 13,340
    CUMMINS INC (CMI) 18,744 18,542
    CVS HEALTH CORP (CVS) 16,577 18,362
    DICKS SPORTING GOODS (DKS) 32,419 37,717
    EASTMAN CHEM CO (EMN) 13,563 14,872
    ETFMG ALTERNATIVE HARVEST E (MJ) 18,343 8,941
    EXELON CORP (EXC) 13,544 14,556
    EXXON MOBIL CORP (XOM) 15,811 15,603
    FRANKLIN INCOME FD CL (FRIAX) 754,909 776,656
    GENERAL MILLS INC (GIS) 15,068 15,700
    HP INC (HPQ) 7,525 7,534
    INDUSTRIAL SELECT SECTOR SP (XLI) 67,230 72,903
    INTEL CORP (INTC) 14,315 14,420
    INTERNATIONAL BUSINESS MACH (IBM) 15,084 16,708
    INVESCO GLOBAL SHORT TERM H (PGHY) 64,666 64,666
    ISHARES SELECT DIVIDEND ETF (DVY) 75,436 77,477
    KEYCORP (KEY) 13,578 13,485
    KINDER MORGAN INC (KMI) 6,775 6,741
    KRAFT HEINZ COMPANY (KHC) 15,840 16,514
    KROGER CO (KR) 7,532 7,513
    LIFE STORAGE INC (LSI) 32,126 46,260
    LYONDELLBASELL INDUSTRIES N (LYB) 13,561 14,019
    MASTEC INC (MTZ) 28,052 24,823
    MCDONALDS CORP (MCD) 7,442 7,774
    MORGAN STANLEY (MS) 18,032 17,669
    NAVIENT CORP (NAVI) 28,713 35,819
    OLIN CORP (OLN) 26,954 38,193
    PFIZER INC (PFE) 22,613 25,687
    PIMCO ACTIVE BOND ETF (BOND) 226,449 225,603
    PPL CORP (PPL) 13,582 13,918
    PROGYNY INC (PGNY) 35,805 25,527
    PRUDENTIAL FINL (PRU) 14,310 14,721
    QUALCOMM INC (QCOM) 12,686 13,167
    REAL ESTATE SELECT SECTOR S (XLRE) 16,385 21,864
    SCIENTIFIC GAMES CORPORATIO (SGMS) 31,926 29,272
    SOUTHERN COMPANY (SO) 15,833 16,734
    STAAR SURGICAL CO (STAA) 32,198 20,816
    STEEL DYNAMICS INC (STLD) 27,874 31,035
    THE AFFINITY WORLD LEADERS (WLDR) 115,106 113,048
    THE MACERICH COMPANY (MAC) 31,867 32,020
    UNIVAR SOLUTIONS INC (UNVR) 31,885 33,255
    VALVOLINE INC (VVV) 30,823 34,978
    VANGUARD SHORT TERM CORPORA (VCSH) 129,386 129,203
    VERIZON COMM (VZ) 17,321 17,614
    WALGREENS BOOTS ALLIANCE IN (WBA) 21,101 22,794
    WELLS FARGO & CO (WFC) 20,382 19,816
    WHIRLPOOL CORP (WHR) 3,680 3,755
    WORLD WRESTLING ENTERTAINME (WWE) 32,180 24,670

    TY 2021 InvestmentsOtherSchedule2
    Name:
    Daniel J and Amy S Willis Charitable Foundation
    EIN:
    81-6937849
    Software ID:
    21014044
    Software Version:
    2021v4.2
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ATHENE BCA ANNUITY AT COST 1,993,429 2,105,505
    GPB Holdings II AT COST 451,811 451,811
    PEACHTREE HOTEL VALUE & INCOME FUND, LP AT COST 95,986 95,986
    ARCTRUST AT COST 271,795 271,795
    ARMADA WASTE MANAGEMENT LP AT COST 93,384 93,384
    MILL GREEN OPPORTUNITY FUND IV, LLC AT COST 0 0
    WAVELAND ENERGY RESOURCE PARTNER IVS IV, LP AT COST 181,275 181,275
    Priority Income Fund AT COST 313,749 313,749
    Waveland Resource Partner V AT COST 178,542 178,542
    Peachtree Distressed Opp Fund AT COST 211,987 211,987
    Vet24Seven AT COST 200,000 200,000
    Sealy Industrial Partners LP AT COST 185,384 185,384
    BDP Montclair 2019 AT COST 200,000 200,000
    e2c2 ESA Bond Fund I AT COST 349,668 349,668
    Sovereign Partners Fund II AT COST 349,935 349,935
    MH Ventures Fund II AT COST 350,000 350,000

    TY 2021 OtherDecreasesSchedule
    Name:
    Daniel J and Amy S Willis Charitable Foundation
    EIN:
    81-6937849
    Software ID:
    21014044
    Software Version:
    2021v4.2
    Description Amount
    Dividends in transit 3,562
    Nondeductible expenses 1,525


    TY 2021 OtherExpensesSchedule
    Name:
    Daniel J and Amy S Willis Charitable Foundation
    EIN:
    81-6937849
    Software ID:
    21014044
    Software Version:
    2021v4.2
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Ameritrade - management fees 73,204 73,204    


    TY 2021 OtherIncomeSchedule2
    Name:
    Daniel J and Amy S Willis Charitable Foundation
    EIN:
    81-6937849
    Software ID:
    21014044
    Software Version:
    2021v4.2
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Passive Investment Income 460,185 219,238  


    TY 2021 OtherIncreasesSchedule
    Name:
    Daniel J and Amy S Willis Charitable Foundation
    EIN:
    81-6937849
    Software ID:
    21014044
    Software Version:
    2021v4.2
    Description Amount
    '20 adjustment reversal 3,373
    Cost basis adjustment 15,760
    PPP loan forgiveness 10,058
    Divs and interest-timing difference 480
    Nondividend disistributions 22,010
    Priority Income 8,337
    Misc 1,575


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    Daniel J and Amy S Willis Charitable Foundation
    EIN:
    81-6937849
    Software ID:
    21014044
    Software Version:
    2021v4.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Athene 31,571 31,571    


    TY 2021 TaxesSchedule
    Name:
    Daniel J and Amy S Willis Charitable Foundation
    EIN:
    81-6937849
    Software ID:
    21014044
    Software Version:
    2021v4.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Excise tax 5,000      
    Foreign tax paid 100 100