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 07-01-2021 , and ending 06-30-2022
Name of foundation
HARRY F CHADDICK AND ELAINE
CHADDICK FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)1731 N MARCEY STREET 515
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60614
A Employer identification number

36-3320988
B Telephone number (see instructions)

(312) 346-2141
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$9,175,668J 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 11,567 11,567  
4 Dividends and interest from securities... 102,210 102,210  
5a Gross rents............ 39,770    
b Net rental income or (loss) -15,234
6a Net gain or (loss) from sale of assets not on line 10 720,952
b Gross sales price for all assets on line 6a 2,958,865
7 Capital gain net income (from Part IV, line 2)... 720,952
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 123 123  
12 Total. Add lines 1 through 11........ 874,622 834,852  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 297,000 89,100   207,900
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 27,914 8,374   19,540
c Other professional fees (attach schedule).... Click to see attachment 87,610 87,610   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 49,560 6,830   15,925
19 Depreciation (attach schedule) and depletion... Click to see attachment 17,609 0  
20 Occupancy.............. 25,480 7,644   17,836
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 30,460 0   4,322
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 535,633 199,558   265,523
25 Contributions, gifts, grants paid....... 706,896 706,896
26 Total expenses and disbursements. Add lines 24 and 25 1,242,529 199,558   972,419
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -367,907
b Net investment income (if negative, enter -0-) 635,294
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets 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......... 106,251 57,034 57,034
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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 bullet        
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)....... 3,904,342 Click to see attachment3,413,870 7,921,145
c Investments—corporate bonds (attach schedule)....... 710,197 Click to see attachment878,088 825,835
11 Investments—land, buildings, and equipment: basis bullet552,037
Less: accumulated depreciation (attach schedule) bullet186,360 361,494 Click to see attachment365,677 365,677
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet21,321
Less: accumulated depreciation (attach schedule) bullet19,089 2,524 Click to see attachment2,232 2,232
15 Other assets (describe bullet) Click to see attachment3,745 Click to see attachment3,745 Click to see attachment3,745
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,088,553 4,720,646 9,175,668
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 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........ 6,980,959 6,980,959
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds -1,892,406 -2,260,313
29 Total net assets or fund balances (see instructions)..... 5,088,553 4,720,646
30 Total liabilities and net assets/fund balances (see instructions). 5,088,553 4,720,646
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
5,088,553
2
Enter amount from Part I, line 27a .....................
2
-367,907
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
4,720,646
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
4,720,646
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 BRISTOL MYERS SQUIBB COMPANY P 2021-01-01 2021-10-08
b 960 SHS TJX COMPANIES INC P 2017-10-17 2021-06-29
c 570 SHS TJX COMPANIES INC P 2017-11-14 2021-06-29
d 900 SHS ISHARES MSCI EAFE P 2012-04-05 2021-07-21
e 600 SHS ALIBABA GROUP HOLDINGS LTD ADR P 2018-11-27 2021-09-27
385 SHS META PLATFORMS INC P 2018-06-06 2021-10-04
3675 SHS BRISTOL MYERS SQUIBB COMPANY P 2020-04-28 2021-10-08
755 SHS TELADOC HEALTH INC P 2019-06-10 2021-11-22
3,000 SHS REPAY HOLDINGS CORP P 2020-07-24 2021-11-23
1,800 SHS ADAPTIVE BIOTECHNOLOGIES CORP P 2019-11-26 2021-11-23
125,000 SHS VMWARE 2.950% 8/21/22 CALL 7/21/22 P 2020-04-27 2022-01-18
1,050 SHS KORNIT DIGITAL LTD P 2017-01-24 2022-01-21
500 SHS CHEWY INC P 2021-06-29 2022-01-21
2,775 SHS FORTIVE CORP COM P 2020-09-09 2022-01-21
1,000 SHS PHREESIA INC P 2020-09-16 2022-01-24
615 SHS HONEYWELL INTERNATIONAL INC P 2006-02-28 2022-02-10
S&P GLOBAL INC COM LEU PAYMENT P 2018-06-06 2022-03-01
50,000 SHS WELLS FARGO 3.500% 3/8/22 P 2017-12-18 2022-03-08
4,540.271 SHS WILLIAM BLAIR BOND I P 2017-05-23 2022-03-15
2,000 SHS VANGUARD FTSE ALL WORLDS EX US ETF P 2012-04-05 2022-03-30
169 SHS MICROSOFT CORP P 2016-03-02 2022-03-30
1,035 SHS QUALCOMM INC P 2005-05-31 2022-03-30
420 SHS APPLE INC P 2014-01-03 2022-03-30
30 SHS ALPHABET INC P 2012-04-11 2022-03-30
750 SHS EXACT SCIENCES CORP P 2022-02-10 2022-04-25
265 SHS BOEING CO P 2016-01-14 2022-04-27
5,500 SHS REPAY HOLDINGS CORP P 2019-07-10 2022-04-27
1,500 SHS HOLOGIC INC P 2022-03-30 2022-04-27
500 SHS ABIOMED INC COM P 2014-05-30 2022-06-13
1,000 SHS DOCUSIGN INC P 2018-04-27 2022-06-13
1,240 SHS PAYPAL HOLDINGS INC P 2013-06-21 2022-06-13
750 SHS EXACT SCIENCES CORP P 2022-02-10 2022-06-13
500 SHS EVOLENT HEALTH INC P 2021-05-06 2022-06-13
46,125.461 SHS EATON VANCE INCOME FUND OF BOSTON I P 2020-11-04 2022-06-14
500 SHS CARMAX INC P 2017-04-06 2022-06-17
200 SHS APPLE INC P 2014-01-03 2022-06-17
180 SHS STARBURCKS CORP P 2012-08-13 2022-06-17
368 SHS S&PGLOBAL INC COM P 2018-06-06 2022-06-17
(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 28,155   30,699 -2,544
b 64,195   34,426 29,769
c 38,116   19,211 18,905
d 70,777   47,898 22,879
e 90,306   104,292 -13,986
124,697   68,341 56,356
181,173   197,545 -16,372
83,322   43,777 39,545
53,257   69,409 -16,152
48,027   61,632 -13,605
126,599   125,359 1,240
100,486   17,315 83,171
19,428   41,264 -21,836
198,404   185,020 13,384
29,910   30,238 -328
118,021   24,182 93,839
365   172 193
50,000   50,000 0
44,313   46,901 -2,588
116,744   86,560 30,184
52,957   8,932 44,025
157,827   48,135 109,692
74,508   8,219 66,289
85,027   12,665 72,362
46,132   61,875 -15,743
40,227   33,869 6,358
74,920   71,521 3,399
106,501   114,807 -8,306
120,181   47,772 72,409
59,032   38,530 20,502
91,221   76,036 15,185
28,058   61,875 -33,817
13,362   10,620 2,742
225,554   250,000 -24,446
42,694   33,312 9,382
26,049   3,914 22,135
12,771   4,162 8,609
115,549   67,428 48,121
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       -2,544
b       29,769
c       18,905
d       22,879
e       -13,986
      56,356
      -16,372
      39,545
      -16,152
      -13,605
      1,240
      83,171
      -21,836
      13,384
      -328
      93,839
      193
      0
      -2,588
      30,184
      44,025
      109,692
      66,289
      72,362
      -15,743
      6,358
      3,399
      -8,306
      72,409
      20,502
      15,185
      -33,817
      2,742
      -24,446
      9,382
      22,135
      8,609
      48,121
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 2 720,952
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 8,831
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 8,831
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 13,732
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 13,732
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 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 4,901
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet4,901 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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
     
    No
    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)
    bulletIL
    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
     
    No
    Website addressbulletN/A
    14
    The books are in care ofbulletFRED M BRODY Telephone no.bullet (312) 346-2141

    Located atbullet222 S RIVERSIDE PLAZA SUITE 2730CHICAGOIL ZIP+4bullet60606
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    MARI HATZENBUEHLER CRAVEN PRESIDENT/DIR
    35.00     		160,000 0 0
    680 N LAKE SHORE DR 1124
    CHICAGO,IL60611
    SUZANNE HUDSON HATZENBUEHLER VICE PRES/DIR
    30.00     		132,000 0 0
    35 MAYFLOWER DRIVE
    ASHEVILLE,NC28804
    WAYNE MORETTI TREASURER/DIR
    10.00     		5,000 0 0
    954 RALEIGH ROAD
    GLENVIEW,IL60025
    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.........................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
    11,647,754
    b
    Average of monthly cash balances.......................
    1b
    270,508
    c
    Fair market value of all other assets (see instructions)................
    1c
    536,807
    d
    Total (add lines 1a, b, and c).........................
    1d
    12,455,069
    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
    12,455,069
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    186,826
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    12,268,243
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    613,412
    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
    613,412
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    8,831
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    8,831
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    604,581
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    604,581
    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
    604,581
    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 7 604,581
    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...... 430,085
    b From 2017...... 483,644
    c From 2018...... 580,834
    d From 2019...... 395,057
    e From 2020...... 291,741
    f Total of lines 3a through e ........ 2,181,361
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 972,419
    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..... 604,581
    e Remaining amount distributed out of corpus 367,838
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 2,549,199
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		430,085
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		2,119,114
    10 Analysis of line 9:
    a Excess from 2017.... 483,644
    b Excess from 2018.... 580,834
    c Excess from 2019.... 395,057
    d Excess from 2020.... 291,741
    e Excess from 2021.... 367,838
    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
    WORKING WHEELS WNC
    76 WEAVERVILLE ROAD
    ASHEVILLE,NC28804     		NONE PUBLIC CIVIC 10,000
    WESTERN CAROLINA RESCUE MINISTRIES
    PO BOX 909
    ASHEVILLE,NC28802     		NONE PUBLIC CIVIC 10,000
    URBAN INITIATIVES
    650 WEST LAKE STREET SUITE 340
    CHICAGO,IL60661     		NONE PUBLIC EDUCATIONAL 5,000
    UNIVERISTY OF CHICAGO WOMEN'S BOARD GRANTS FUND
    5235 S HARPER CT SEVENTH FLOOR
    CHICAGO,IL60615     		NONE PUBLIC EDUCATIONAL 1,000
    TUTORING CHICAGO
    303 W MADISON STREET SUITE 750
    CHICAGO,IL60606     		NONE PUBLIC EDUCATIONAL 3,500
    THE WOMAN'S BOARD OF NORTHWESTERN MEMORIAL HOSPITAL
    541 N FAIRBANKS COURT SUITE 800
    CHICAGO,IL60611     		NONE PUBLIC HEALTHCARE 500
    THE PEACE CENTER
    101 WEST BROAD STREET
    GREENVILLE,SC29601     		NONE PUBLIC EDUCATIONAL 1,500
    THE NIGHT MINISTRY
    1735 N ASHLAND AVENUE SUITE 2000
    CHICAGO,IL60622     		NONE PUBLIC HEALTHCARE 3,500
    THE CHICAGO LIGHTHOUSE
    1850 WEST ROOSELVELT ROAD
    CHICAGO,IL60608     		NONE PUBLIC EDUCATIONAL 5,000
    THE BREAKTHROUGH BOARD CANCER RESEARCH
    3354 N PAULINA SUITE 208
    CHICAGO,IL60657     		NONE PUBLIC HEALTHCARE 15,000
    THE ARK
    6450 N CALIFORNIA AVENUE
    CHICAGO,IL60645     		NONE PUBLIC CIVIC 3,500
    ST VINCENT DEPAUL
    72 CULVERN STREET
    ASHEVILLE,NC28804     		NONE PUBLIC RELIGIOUS 20,000
    ST MARY'S HOMELITTLE SISTERS OF THE POOR
    2325 N LAKEWOOD AVENUE
    CHICAGO,IL60614     		NONE PUBLIC CIVIC 7,606
    ST LEONARD'S MINISTRIES
    2100 W WARREN BLVD
    CHICAGO,IL60612     		NONE PUBLIC RELIGIOUS 7,500
    RIVERLINK
    170 LYMAN STREET
    ASHEVILLE,NC28801     		NONE PUBLIC EDUCATIONAL 85,500
    PROVIDENT BEHAVORIAL HEALTHMARY RIDER HOME
    2650 OLIVE STREET
    ST LOUIS,MO63101     		NONE PUBLIC HEALTHCARE 1,000
    PLANNED PARENTHOOD SOUTH ATLANTIC
    68 MCDOWELL STREET
    ASHEVILLE,NC28801     		NONE PUBLIC CIVIC 5,000
    PARISH OF ST EUGENE
    72 CULVERN STREET
    ASHEVILLE,NC28804     		NONE PUBLIC RELIGIOUS 10,000
    ON TRACK FINANCIAL COUNSELING
    50 S FRENCH BROAD AVE SUITE 227
    ASHEVILLE,NC28801     		NONE PUBLIC CIVIC 5,000
    OLD TOWN SCHOOL OF FOLK MUSIC
    4544 NORTH LINCOLN AVENUE
    CHICAGO,IL60625     		NONE PUBLIC EDUCATIONAL 8,000
    NORTHSIDE HOUSING & SUPPORTIVE SERVICES
    4410 N RAVENSWOOD SUITE 101
    CHICAGO,IL60640     		NONE PUBLIC HEALTHCARE 5,000
    NATIONAL SHRINE OF ST FRANCES XAVIER CABRINI
    2520 N LAKEVIEW AVE
    CHICAGO,IL60614     		NONE PUBLIC RELIGIOUS 4,500
    MIDTOWN EDUCATIONAL FOUNDATION
    718 SOUTH LOOMIS STREET
    CHICAGO,IL60607     		NONE PUBLIC EDUCATIONAL 6,000
    MICHIANA HUMANE SOCIETY
    722 INDIANA HWY 212
    MICHIGAN CITY,IN46360     		NONE PUBLIC CIVIC 10,000
    METRO SQUASH
    922 DAVIS STREET
    EVANSTON,IL60201     		NONE PUBLIC EDUCATIONAL 250
    MERIT SCHOOL OF MUSIC
    38 SOUTH PEORIA STREET
    CHICAGO,IL60607     		NONE PUBLIC SCHOOL 8,000
    MEMORYCARE
    100 FAR HORIZONS LANE
    ASHEVILLE,NC28803     		NONE PUBLIC HEALTHCARE 5,000
    MARYKNOLL FATHERS & BROTHERS
    PO BOX 302
    MARYKNOLL,NY10454     		NONE PUBLIC CIVIC 5,000
    MAGDALENE HOUSE
    PO BOX 1541
    NORTH RIVERSIDE,IL60546     		NONE PUBLIC CIVIC 5,000
    LURIE'S CHILDREN'S HOSPITAL
    225 EAST CHICAGO AVENUE BOX 116
    CHICAGO,IL60611     		NONE PUBLIC HEALTHCARE 5,000
    LOYOLA UNIVERSITY - CHICAGO SCHOOL OF LAW
    25 EAST PEARSON STREET
    CHICAGO,IL60611     		NONE PUBLIC EDUCATIONAL 1,000
    LITTLE BROTHERS FRIENDS OF ELDERLY
    355 NORTH ASHLAND AVE
    CHICAGO,IL60607     		NONE PUBLIC CIVIC 2,000
    LINCOLN PARK ZOO
    2001 NORTH CLARK STREET
    CHICAGO,IL60614     		NONE PUBLIC EDUCATIONAL 3,000
    LEAP
    180 N WABASH AVENUE SUITE 604
    CHICAGO,IL60601     		NONE PUBLIC EDUCATIONAL 77,000
    LAWRENCE HALL
    4833 N FRANCISCO AVE
    CHICAGO,IL60625     		NONE PUBLIC CIVIC 7,000
    JUVENILE PROTECTIVE ASSOCIATION
    1707 NORTH HALSTED
    CHICAGO,IL60614     		NONE PUBLIC EDUCATIONAL 10,000
    JOSEPHINUM ACADEMY
    1501 N OAKLEY BLVD
    CHICAGO,IL60622     		NONE PUBLIC EDUCATIONAL 6,900
    HOWARD AREA COMMUNITY CENTER
    7648 NORTH PAULINA STREET
    CHICAGO,IL60626     		NONE PUBLIC EDUCATIONAL 5,000
    HORIZONS FOR YOUTH
    703 WEST MONROE
    CHICAGO,IL60661     		NONE PUBLIC EDUCATIONAL 7,500
    HIGHSIGHT
    1711 NORTH CLEVELAND AVENUE
    CHICAGO,IL60614     		NONE PUBLIC HEALTHCARE 6,000
    HEPHZIBAH CHILDREN'S ASSOCIATION
    1144 LAKE STREET FIFTH FLOOR
    OAK PARK,IL60301     		NONE PUBLIC EDUCATIONAL 3,000
    HEALTHY SCHOOLS CAMPAIGN
    190 S LASALLE STREET SUITE 1508
    CHICAGO,IL60603     		NONE PUBLIC HEALTHCARE 5,000
    HOME
    1419 W CARROLL AVENUE FL 2
    CHICAGO,IL60607     		NONE PUBLIC HEALTHCARE 2,000
    HEAR
    1405 LYON ST
    SAN FRANCISCO,CA94115     		NONE PUBLIC CIVIC 50,000
    GIRLS ON THE RUN CHICAGO
    1415 N DAYTON ST SUITE 112
    CHICAGO,IL60642     		NONE PUBLIC EDUCATIONAL 3,000
    GIORDANO DANCE CHICAGO
    1754 N CLARK STREET
    CHICAGO,IL60614     		NONE PUBLIC CIVIC 2,500
    FAMILY RESCUE
    PO BOX 17528
    CHICAGO,IL60617     		NONE PUBLIC HEALTHCARE 5,000
    DEPAUL UNIVERSITY
    14 E JACKSON SUITE 1600
    CHICAGO,IL60604     		NONE PUBLIC EDUCATIONAL 130,000
    DANIEL MURPHY SCHOLARSHIP FUND
    309 W WASHINGTON SUITE 700
    CHICAGO,IL60606     		NONE PUBLIC CIVIC 5,000
    CRISTO REY JESUIT HIGH SCHOOL
    1852 W 22ND PL
    CHICAGO,IL60608     		NONE PUBLIC EDUCATIONAL 9,640
    CHILDREN'S WELFARE LEAGUE
    PO BOX 15425
    ASHEVILLE,NC28813     		NONE PUBLIC CIVIC 5,000
    CHILDREN'S PLACE ASSOCIATION
    700 N SACRAMENTO BLVD SUITE 300
    CHICAGO,IL60612     		NONE PUBLIC EDUCATIONAL 2,500
    CHILDREN'S HOME & AID
    200 W MONROE STE 2100
    CHICAGO,IL60606     		NONE PUBLIC HEALTHCARE 5,000
    CHICAGO SYMPHONY ORCHESTRA
    220 S MICHIGAN AVENUE
    CHICAGO,IL60604     		NONE PUBLIC CIVIC 10,000
    CHERRY PRESCHOOL
    1418 LAKE STREET
    EVANSTON,IL60202     		NONE PUBLIC EDUCATIONAL 6,000
    CHANGE 4 CHILDREN
    3473 S KING DRIVE - 155
    CHICAGO,IL60616     		NONE PUBLIC EDUCATIONAL 15,500
    CATHOLIC CHARITIES WNC
    1123 S CHURCH STREET
    CHARLOTTE,NC28203     		NONE PUBLIC RELIGIOUS 5,000
    CASA CENTRAL
    1343 N CALIFORNIA AVE
    CHICAGO,IL60622     		NONE PUBLIC EDUCATIONAL 4,000
    CAPTAINS FOR CLEAN WATER INC
    2031 JACKSON STREET
    FORT MYERS,FL33901     		NONE PUBLIC CIVIC 500
    BUNCOMBE COUNTY SCHOOLS FOUNDATION
    175 BINGHAM ROAD
    ASHEVILLE,NC28806     		NONE PUBLIC EDUCATIONAL 6,000
    BIG SHOULDERS FUND
    212 W VAN BUREN SUITE 900
    CHICAGO,IL60607     		NONE PUBLIC EDUCATIONAL 10,000
    BEARS CARE
    1920 FOOTBALL DRIVE
    LAKE FOREST,IL60045     		NONE PUBLIC CIVIC 1,000
    ASHEVILLE SYMPHONY ORCHESTRA CHORUS
    27 COLLEGE PLACE SUITE 100
    ASHEVILLE,NC28801     		NONE PUBLIC CIVIC 4,000
    ASHEVILLE SYMPHONY ORCHESTRA
    27 COLLEGE PLACE SUITE 100
    ASHEVILLE,NC28801     		NONE PUBLIC CIVIC 10,000
    ASHEVILLE CHAMBER OF COMMERCE
    36 MONTFORD AVE
    ASHEVILLE,NC28801     		NONE PUBLIC CIVIC 5,000
    ASHEVILLE BUNCOMBE TECHNICAL COLLEGE FOUNDATION
    240 VICTORIA ROAD
    ASHEVILLE,NC28801     		NONE PUBLIC EDUCATIONAL 2,500
    ASHEVILLE ART MUSEUM
    PO BOX 1717
    ASHEVILLE,NC28802     		NONE PUBLIC EDUCATIONAL 5,000
    ALL SOULS COUNSELING
    35 ARLINGTON ST
    ASHEVILLE,NC28801     		NONE PUBLIC HEALTHCARE 5,000
    AB TECHNICAL COMMUNITY COLLEGE FOUNDATION
    340 VICTORIA ROAD
    ASHEVILLE,NC28801     		NONE PUBLIC EDUCATIONAL 2,500
    Total .................................bullet 3a 706,896
    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 ...........     		    14 11,567  
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property..... 531390 -15,234      
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 720,952  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. -15,234 834,852 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    819,618
    (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
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    Form 990-PF (2021)
    Additional Data


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    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    HARRY F CHADDICK AND ELAINE
     
    CHADDICK FOUNDATION INC
    EIN:
    36-3320988
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 27,914 8,374   19,540

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

    TY 2021 DepreciationSchedule
    Name:
    HARRY F CHADDICK AND ELAINE
     
    CHADDICK FOUNDATION INC
    EIN:
    36-3320988
    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
    FURNITURE AND FIXTURES 1995-01-01 2,375 2,375   0 % 0 0    
    COMPUTER 2006-07-09 1,344 1,344 SL 5.000000000000 0 0    
    FURNITURE AND FIXTURES 2006-07-10 7,876 7,876 SL 7.000000000000 0 0    
    OFFICE WIRING 2006-11-01 3,389 1,276 SL 39.000000000000 87 0    
    COMPUTER 2007-08-10 1,014 1,014 SL 5.000000000000 0 0    
    FURNITURE AND FIXTURES 2008-03-08 1,394 1,394 SL 7.000000000000 0 0    
    BUILDING 2011-11-23 395,503 138,427 SL 27.500000000000 14,382 14,382    
    LAND 2011-11-23 43,945   L   0 0    
    WASHING MACHINE 2012-05-15 301 150 200DB 5.000000000000 0 0    
    APPLIANCES 2012-12-31 6,109 3,054 200DB 5.000000000000 0 0    
    IMPROVEMENTS 2012-10-01 5,059 1,602 SL 27.500000000000 184 184    
    COMPUTER 2012-10-05 1,828 1,828 SL 5.000000000000 0 0    
    APPLIANCES 2013-12-31 7,127 3,563 200DB 5.000000000000 0 0    
    SNOWBLOWER 2015-01-03 604 577 200DB 7.000000000000 27 27    
    COMPUTER EQUIPMENT 2015-04-14 1,075 1,075 SL 5.000000000000 0 0    
    APPLIANCES 2015-12-31 2,385 1,192 200DB 5.000000000000 0 0    
    IMPROVEMENTS 2015-12-31 25,772 5,193 SL 27.500000000000 937 937    
    APPLIANCES 2016-12-31 1,239 583 200DB 5.000000000000 36 124    
    IMPROVEMENTS 2016-12-31 15,991 2,639 SL 27.500000000000 581 581    
    IMPROVEMENTS 2017-12-31 13,334 1,718 SL 27.500000000000 485 485    
    GRILL 2018-09-25 600   200DB 5.000000000000 0 120    
    IMPROVEMENTS 2018-12-31 12,567 1,162 SL 27.500000000000 457 457    
    COMPUTER 2018-07-11 1,025 615 SL 5.000000000000 205 0    
    ROOF 2022-03-04 21,500   SL 27.500000000000 228 228    

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    HARRY F CHADDICK AND ELAINE
     
    CHADDICK FOUNDATION INC
    EIN:
    36-3320988
    Name of Bond End of Year Book Value End of Year Fair Market Value
    100,000 SHS MCDONALDS CORP MTN CALL MAKE WHOLE 3.70000% 1/30/26 103,125 99,820
    100,000 SHS WABTEC SER B NOTE 3.45000% 11/15/2026 101,748 91,234
    125,000 SHS AMERICAN TOWER CORP NOTE CALL MAKE WHOLE 3.12500% 1/15/27 131,278 116,196
    150,000 SHS DISNEY WALT CO NOTE CALL MAKE WHOLE 3.35000% 3/24/25 159,569 148,805
    150,000 SHS GENERAL MILLS INC NOTE MAKE WHOLE 3.65000% 2/15/24 151,892 150,608
    50,000 SHS FOOD MOTOR CREDIT COMPANY NOTE 2.30000% 2/10/25 47,375 44,859
    50,000 SHS TOYOTA MRT CR CORP 2.8% DUE 7/13/22 50,608 50,005
    50,000 SHS UNITED STATES TREAS SER AY-2024 1.5000% 2/29/24 NTS NOTE 49,670 48,858
    75,000 SHS ELANCO ANIMAL HEALTH SER B NOTE 5.27200% 8/28/2023 82,823 75,450

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    HARRY F CHADDICK AND ELAINE
     
    CHADDICK FOUNDATION INC
    EIN:
    36-3320988
    Name of Stock End of Year Book Value End of Year Fair Market Value
    1,000 SHS AON PLC SHS CL A COM 197,505 269,680
    1,000 SHS ECOLAB INC 176,641 153,760
    1,000 SHS INTERNATIONAL BUS MACH CORP COM 143,332 141,190
    1,075 SHS HOME DEPOT INC 28,979 294,840
    1,095 SHS JOHNSON & JOHNSON 65,676 194,373
    1,100 SHS NIKE INC CL B 24,697 112,420
    1,200 SHS VISA INC 22,799 236,268
    1,210 SHS SALESFORCE.COM INC 101,284 199,698
    1,237 SHS IRHYTHM TECHNOLOGIES INC COM 88,073 133,633
    1,275 SHS INTERCONTINENTAL EXCHANGE INC 65,104 119,901
    1,300 SHS ZOETIS INC 38,610 223,457
    1,895 SHS JPMORGAN CHASE & CO 124,822 213,396
    150 SHS TRANSDIGM GROUP INC 100,626 80,501
    2,000 SHS COSTAR GROUP INC 34,426 120,820
    2,000 SHS STARBUCKS CORP 45,828 152,780
    2,000 SHS WABTEC COM 159,532 164,160
    2,100 SHS MICROSOFT CORP 85,968 539,343
    2,125 SHS SPROUT SOCIAL INC COM CL A 60,520 123,399
    2,400 SHS AMAZON.COM INC 22,870 254,904
    2,400 SHS DEXCOM INC 5,922 178,872
    2,546 SHS BLACKSTONE GROUP LP COM 110,309 232,272
    215 SHS GENERAC HLDGS INC COM 47,831 45,275
    250 SHS ALPHABET INC 58,575 544,815
    320 SHS LINDE PLC COM 82,839 92,010
    350 SHS INSULET CORP 92,543 76,279
    360 SHS ACCENTURE PLC CL A 55,438 99,954
    4,000 SHS APPLE INC 35,759 546,880
    4,500 SHS UBER TECHNOLOGIES INC COM 157,847 92,070
    4,500 SHS XOMETRY INC 186,351 152,685
    400 SHS CHEVRON CORP 37,558 57,912
    400 SHS IDEXX LABORATORIES CORP 16,992 140,292
    410 SHS TWILIO INC CL 58,354 34,362
    600 SHS AMETEK INCOM 28,639 65,934
    600 SHS WORKDAY INC COM 111,565 83,748
    610 SHS PROCTER & GAMBLE CO 28,236 87,712
    700 SHS CARMAX INC 39,816 63,336
    700 SHS STRYKER CORP 34,891 139,251
    760 SHS DISNEY WALT CO 85,892 71,744
    790 SHS ABBOTT LABS 50,762 85,834
    800 SHS GLOBAL PAYMENTS INC 109,669 88,512
    825 SHS AMERICAN EXPRESS CO 62,525 114,362
    840 SHS COSTCO WHOLESALE CORP-NEW 80,896 402,595
    9,500 SHS EVOLENT HEALTH INC CL A 132,691 291,745
    950 SHS DAHAHER CORP 69,953 240,844
    980 SHS PEPSICO INC 44,725 163,327

    TY 2021 InvestmentsLandSchedule2
    Name:
    HARRY F CHADDICK AND ELAINE
     
    CHADDICK FOUNDATION INC
    EIN:
    36-3320988
    Category/ Item Cost/Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    BUILDING 395,503 152,809 242,694  
    LAND 43,945 0 43,945  
    WASHING MACHINE 301 301 0  
    APPLIANCES 6,109 6,109 0  
    IMPROVEMENTS 5,059 1,786 3,273  
    APPLIANCES 7,127 7,127 0  
    SNOWBLOWER 604 604 0  
    APPLIANCES 2,385 2,385 0  
    IMPROVEMENTS 25,772 6,130 19,642  
    APPLIANCES 1,239 1,239 0  
    IMPROVEMENTS 15,991 3,220 12,771  
    IMPROVEMENTS 13,334 2,203 11,131  
    GRILL 600 600 0  
    IMPROVEMENTS 12,567 1,619 10,948  
    ROOF 21,500 228 21,272  

    TY 2021 LandEtcSchedule2
    Name:
    HARRY F CHADDICK AND ELAINE
     
    CHADDICK FOUNDATION INC
    EIN:
    36-3320988
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    FURNITURE AND FIXTURES 2,375 2,375 0  
    COMPUTER 1,344 1,344 0  
    FURNITURE AND FIXTURES 7,876 7,876 0  
    OFFICE WIRING 3,389 1,363 2,026  
    COMPUTER 1,014 1,014 0  
    FURNITURE AND FIXTURES 1,394 1,394 0  
    COMPUTER 1,828 1,828 0  
    COMPUTER EQUIPMENT 1,075 1,075 0  
    COMPUTER 1,025 820 205  


    TY 2021 OtherAssetsSchedule
    Name:
    HARRY F CHADDICK AND ELAINE
     
    CHADDICK FOUNDATION INC
    EIN:
    36-3320988
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    SECURITY DEPOSIT 3,745 3,745 3,745


    TY 2021 OtherExpensesSchedule
    Name:
    HARRY F CHADDICK AND ELAINE
     
    CHADDICK FOUNDATION INC
    EIN:
    36-3320988
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TELEPHONE EXPENSE 1,600 0   1,600
    PARKING FEES 1,650 0   1,650
    OFFICE EXPENSES 1,157 0   1,072
    PENALTIES 177 0   0
    CLEANING & MAINTENANCE 5,946 0   0
    COMMISSIONS 500 0   0
    INSURANCE 2,674 0   0
    REPAIRS 1,400 0   0
    UTILITIES 14,656 0   0
    MATERIALS 700 0   0


    TY 2021 OtherIncomeSchedule2
    Name:
    HARRY F CHADDICK AND ELAINE
     
    CHADDICK FOUNDATION INC
    EIN:
    36-3320988
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INVESTMENT INCOME 123 123 123


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    HARRY F CHADDICK AND ELAINE
     
    CHADDICK FOUNDATION INC
    EIN:
    36-3320988
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 87,610 87,610   0


    TY 2021 TaxesSchedule
    Name:
    HARRY F CHADDICK AND ELAINE
     
    CHADDICK FOUNDATION INC
    EIN:
    36-3320988
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 22,588 6,776   15,812
    FEDERAL TAXES 15,000 0   0
    BANK FEES 161 54   113
    PROPERTY TAX 11,811 0   0