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
SUSAN R AND JOHN W SULLIVAN FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)411 SE OSCEOLA STREET SUITE 201
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
STUART, FL349943008
A Employer identification number

22-2612047
B Telephone number (see instructions)

(772) 283-3838
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$6,286,753J 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... 81,528 80,828  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 440,659
b Gross sales price for all assets on line 6a 1,753,829
7 Capital gain net income (from Part IV, line 2)... 440,659
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 199,440 1,925  
12 Total. Add lines 1 through 11........ 721,627 523,412  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 88,000 44,000   44,000
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 6,076 3,038   3,038
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 7,962 3,525   2,855
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 24,470 12,235   12,235
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 29,512 31,322   115
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 156,020 94,120   62,243
25 Contributions, gifts, grants paid....... 415,500 415,500
26 Total expenses and disbursements. Add lines 24 and 25 571,520 94,120   477,743
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 150,107
b Net investment income (if negative, enter -0-) 429,292
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............. 131,286 147,229 147,229
2 Savings and temporary cash investments......... 357,428 371,554 371,554
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) 273,366 Click to see attachment260,809 259,696
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule)....... 228,181 Click to see attachment254,618 258,927
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 4,239,595 Click to see attachment4,312,493 5,249,347
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,229,856 5,346,703 6,286,753
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) Click to see attachment33,635 Click to see attachment375
23 Total liabilities (add lines 17 through 22)......... 33,635 375
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........ 5,196,221 5,346,328
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 0 0
29 Total net assets or fund balances (see instructions)..... 5,196,221 5,346,328
30 Total liabilities and net assets/fund balances (see instructions). 5,229,856 5,346,703
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
5,196,221
2
Enter amount from Part I, line 27a .....................
2
150,107
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
5,346,328
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
5,346,328
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 481.011 SHS LOOMIS SAYLES GLOBAL ALL OCATION Y P 2020-12-21 2021-12-07
b 583.625 SHS VANGUARD WELLESLEY INCOM E ADMIRAL P 2021-03-08 2021-12-07
c 21.852 SHS VANGUARD WELLESLEY INCOM E ADMIRAL P 2020-12-21 2021-12-07
d 21.995 SHS VANGUARD WELLESLEY INCOM E ADMIRAL P 2020-06-26 2021-12-07
e 25.485 SHS VANGUARD WELLESLEY INCOM E ADMIRAL P 2021-03-24 2021-12-07
8.681 SHS VANGUARD WELLESLEY INCOM E ADMIRAL P 2020-12-21 2021-12-07
20.194 SHS VANGUARD WELLESLEY INCOM E ADMIRAL P 2021-06-18 2021-12-07
10.493 SHS VANGUARD WELLESLEY INCOM E ADMIRAL P 2021-09-17 2021-12-07
592.368 SHS SCHWAB S&P 500 INDEX P 2020-05-08 2021-12-07
1442.478 SHS HARDING LOEVNER INTERNAT IONAL EQ INSTL P 2017-11-09 2021-12-07
62.345 SHS LOOMIS SAYLES GLOBAL ALL OCATION Y P 2020-12-21 2021-12-07
21.479 SHS VANGUARD WELLESLEY INCOM E ADMIRAL P 2020-09-28 2021-12-07
25.517 SHS VANGUARD WELLESLEY INCOM E ADMIRAL P 2020-03-20 2021-12-07
3.111 SHS LOOMIS SAYLES GLOBAL ALL OCATION Y P 2020-12-21 2021-12-07
43.213 SHS VANGUARD WELLESLEY INCOM E ADMIRAL P 2020-12-21 2021-12-07
285.459 SHS VANGUARD EXTENDED MARKET INDEX ADMIRAL P 2020-05-08 2021-12-07
841.97 SHS VANGUARD WELLESLEY INCOM E ADMIRAL P 2020-03-19 2021-12-07
8700.111 SHS LOOMIS SAYLES GLOBAL ALL OCATION Y P 2020-10-20 2021-12-07
425.844 SHS SCHWAB S&P 500 INDEX FD P 2020-05-08 2021-07-29
180.654 SHS T. ROWE PRICE BLUE CHIP GROWTH P 2014-08-12 2021-07-29
2216.819 SHS VANGUARD WELLESLEY INCOM E ADMIRAL P 2020-03-19 2021-07-29
945.555 SHS VANGUARD EQUITY-INCOME A DM P 2014-08-12 2021-07-29
106.42 SHS VERSUS CAP MULTI-MANGR R EAL ES SH BEN INT I P 2020-04-07 2021-04-23
103.983 SHS VERSUS CAP MULTI-MANGR R EAL ES SH BEN INT I P 2019-10-10 2021-04-23
2523.946 SHS VERSUS CAP MULTI-MANGR R EAL ES SH BEN INT I P 2019-05-07 2021-04-23
104.814 SHS VERSUS CAP MULTI-MANGR R EAL ES SH BEN INT I P 2019-07-11 2021-04-23
105.112 SHS VERSUS CAP MULTI-MANGR R EAL ES SH BEN INT I P 2020-01-08 2021-04-23
824.67 SHS VANGUARD DIVIDEND GROWTH INV P 2018-12-28 2021-03-08
155.958 SHS T. ROWE PRICE BLUE CHIP GROWTH P 2014-08-12 2021-03-08
11286.15 SHS VANGUARD DIVIDEND GROWTH INV P 2014-12-22 2021-03-08
494.787 SHS VANGUARD EXTENDED MARKET INDEX ADMIRAL P 2020-05-08 2021-03-08
1773.404 SHS HARDING LOEVNER INTERNAT IONAL EQ INSTL P 2017-11-09 2021-03-08
6000 SHS US TREASUR NT 2%08/25 UST NOTE DUE 08/15/25 P 2017-08-10 2021-12-28
12000 SHS CIMAREX ENERGY 4.375%29 DUE 03/15/29 P 2021-01-22 2021-11-03
11000 SHS US TREASU NT 1.625%02/26 UST NOTE DUE 02/15/26 P 2020-03-11 2021-10-13
15000 SHS US TREASUR NT 1.5%11/21 UST NOTE DUE 11/30/21 P 2021-01-27 2021-09-27
5000 SHS US TREASUR NT 1.5%11/21 UST NOTE DUE 11/30/21 P 2021-02-23 2021-09-27
5000 SHS US TREASUR NT 1.5%11/21 UST NOTE DUE 11/30/21 P 2020-10-20 2021-09-13
5000 SHS US TREASUR NT 1.5%11/21 UST NOTE DUE 11/30/21 P 2020-12-18 2021-09-13
3000 SHS US TREASUR NT 1.5%11/21 UST NOTE DUE 11/30/21 P 2021-01-27 2021-09-13
10000 SHS US TREASUR NT 1.5%11/21 UST NOTE DUE 11/30/21 P 2020-10-20 2021-08-24
12000 SHS KINDER MORGAN EN 4.25%24 DUE 09/01/24 P 2017-08-11 2021-08-20
15000 SHS US TREASU NT 2.125%08/21 UST NOTE DUE 08/15/21 P 2018-09-26 2021-06-17
5000 SHS US TREASU NT 2.125%08/21 UST NOTE DUE 08/15/21 P 2019-03-27 2021-06-17
5000 SHS US TREASU NT 2.125%08/21 UST NOTE DUE 08/15/21 P 2019-03-11 2021-06-17
10000 SHS US TREASU NT 2.125%08/21 UST NOTE DUE 08/15/21 P 2018-10-31 2021-06-17
2000 SHS US TREASU NT 2.125%08/21 UST NOTE DUE 08/15/21 P 2017-12-01 2021-06-17
12000 SHS EQUINIX, INC. ( 5.375%27 **CALLED** RATE TBD EFF: 06/02/2021 P 2021-03-10 2021-06-02
11000 SHS US TREASU NT 2.125%08/21 UST NOTE DUE 08/15/21 P 2017-12-01 2021-03-10
2000 SHS US TREASU NT 1.625%02/26 UST NOTE DUE 02/15/26 P 2020-03-11 2021-02-23
13000 SHS WELLS FARGO & C 3.069%23 TENDER OFFER EXP: 02/11.02/26/2021 P 2020-05-04 2021-02-01
4000 SHS US TREASU NT 2.875%08/28 UST NOTE DUE 08/15/28 P 2019-03-11 2021-01-27
8000 SHS US TREASU NT 2.875%08/28 UST NOTE DUE 08/15/28 P 2019-06-20 2021-01-27
4000 SHS US TREASU NT 2.875%08/28 UST NOTE DUE 08/15/28 P 2019-08-27 2021-01-27
2000 SHS US TREASU NT 2.875%08/28 UST NOTE DUE 08/15/28 P 2019-09-20 2021-01-27
5000 SHS US TREASU NT 2.875%08/28 UST NOTE DUE 08/15/28 P 2019-04-05 2021-01-27
12000 SHS REGIONS FINL CORP 3.8%23 DUE 08/14/23 P 2019-05-10 2021-01-22
SHEM CREEK CAPITAL FUND III LLC - FORM K-1 P    
ROUNDING P    
CAPITAL GAINS DIVIDENDS P    
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 14,718   12,780 1,938
b 42,274   40,000 2,274
c 1,583   1,487 96
d 1,593   1,426 167
e 1,846   1,745 101
629   591 38
1,463   1,426 37
760   753 7
43,000   26,716 16,284
44,000   32,745 11,255
1,908   1,657 251
1,556   1,429 127
1,848   1,436 412
95   83 12
3,130   2,941 189
40,000   23,371 16,629
60,987   48,450 12,537
266,214   235,000 31,214
29,000   19,206 9,794
35,000   12,021 22,979
160,000   127,563 32,437
87,000   61,054 25,946
2,954   2,833 121
2,886   2,923 -37
70,056   66,320 3,736
2,909   2,941 -32
2,918   2,954 -36
27,486   20,000 7,486
25,000   10,377 14,623
376,158   263,757 112,401
65,000   40,509 24,491
50,000   40,257 9,743
6,177   5,952 225
12,868   13,568 -700
11,300   11,454 -154
15,028   15,039 -11
5,009   5,015 -6
5,010   5,015 -5
5,010   5,017 -7
3,006   3,009 -3
10,027   10,038 -11
13,061   12,201 860
15,045   14,982 63
5,015   5,000 15
5,015   4,998 17
10,030   9,988 42
2,006   2,001 5
12,870   12,898 -28
11,087   11,007 80
2,091   2,094 -3
13,354   13,244 110
4,620   4,068 552
9,240   8,522 718
4,620   4,400 220
2,310   2,166 144
5,775   5,141 634
12,957   12,234 723
    7,365 -7,365
    3 -3
87,327     87,327
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       1,938
b       2,274
c       96
d       167
e       101
      38
      37
      7
      16,284
      11,255
      251
      127
      412
      12
      189
      16,629
      12,537
      31,214
      9,794
      22,979
      32,437
      25,946
      121
      -37
      3,736
      -32
      -36
      7,486
      14,623
      112,401
      24,491
      9,743
      225
      -700
      -154
      -11
      -6
      -5
      -7
      -3
      -11
      860
      63
      15
      17
      42
      5
      -28
      80
      -3
      110
      552
      718
      220
      144
      634
      723
      -7,365
      -3
      87,327
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 2 440,659
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 5,967
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 5,967
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 2,040
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 10,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 12,040
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 6,073
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet6,073 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
    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)
    bulletFL
    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 ofbulletSUSAN R SULLIVAN Telephone no.bullet (772) 283-3838

    Located atbullet411 SE OSCEOLA STREET SUITE 201STUARTFL ZIP+4bullet349943008
    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)
    Yes
     
    (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
    SUSAN R SULLIVAN PRESIDENT/DIRECTOR
    8.00     		25,000 0 0
    411 SE OSCEOLA STREET SUITE 201
    STUART,FL349943008
    LISA E CHIAVETTA SECRETARY
    15.00     		33,000 0 0
    411 SE OSCEOLA STREET SUITE 201
    STUART,FL349943008
    WILLIAM C FOWLER TREASURER
    2.00     		15,000 0 0
    411 SE OSCEOLA STREET SUITE 201
    STUART,FL349943008
    JENNIFER S MCKAY DIRECTOR
    1.00     		3,000 0 0
    411 SE OSCEOLA STREET SUITE 201
    STUART,FL349943008
    GIERIET S BOWEN DIRECTOR
    1.00     		3,000 0 0
    411 SE OSCEOLA STREET SUITE 201
    STUART,FL349943008
    JOHN W SULLIVAN JR DIRECTOR
    1.00     		3,000 0 0
    411 SE OSCEOLA STREET SUITE 201
    STUART,FL349943008
    J BOLTON SULLIVAN II DIRECTOR
    1.00     		3,000 0 0
    411 SE OSCEOLA STREET SUITE 201
    STUART,FL349943008
    KATHLEEN B SULLIVAN DIRECTOR
    1.00     		3,000 0 0
    411 SE OSCEOLA STREET SUITE 201
    STUART,FL349943008
    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
    5,342,785
    b
    Average of monthly cash balances.......................
    1b
    126,288
    c
    Fair market value of all other assets (see instructions)................
    1c
    675,398
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,144,471
    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
    6,144,471
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    92,167
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    6,052,304
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    302,615
    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
    302,615
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    5,967
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
    41,217
    c
    Add lines 2a and 2b............................
    2c
    47,184
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    255,431
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    255,431
    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
    255,431
    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 7 255,431
    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......  
    b From 2017...... 197,053
    c From 2018...... 138,496
    d From 2019...... 227,683
    e From 2020...... 252,878
    f Total of lines 3a through e ........ 816,110
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 477,743
    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..... 255,431
    e Remaining amount distributed out of corpus 222,312
    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 1,038,422
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		1,038,422
    10 Analysis of line 9:
    a Excess from 2017.... 197,053
    b Excess from 2018.... 138,496
    c Excess from 2019.... 227,683
    d Excess from 2020.... 252,878
    e Excess from 2021.... 222,312
    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).)
    SUSAN R SULLIVAN
    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 e-mail address of the person to whom applications should be addressed:
    SUSAN R SULLIVAN PRESIDENTDIRECTOR
    411 SE OSCEOLA STREET SUITE 201
    STUART,FL349943008
    (772) 283-3838
    bThe form in which applications should be submitted and information and materials they should include:
    SEND PRINTED MATERIALS REGARDING CHARITABLE ORGANIZATION ALONG WITH CURRENT FINANCIAL STATEMENTS.
    cAny submission deadlines:
    NOVEMBER 15TH OF EACH YEAR.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE.
    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
    AGAINST MALARIA FOUNDATION US
    310 WEST 20TH STREET SUITE 300
    KANSAS CITY,MO64108     		NONE. FOUNDATION INTERNATIONAL HEALTH ORGANIZATION 1,000
    AMERICAN RED CROSS
    1250 NORTHPOINT PARKWAY
    WEST PALM BEACH,FL33407     		NONE. PUBLIC CHARITY DISASTER RELIEF 8,000
    ARRUPE COLLEGE OF LOYOLA UNIVERSITY CHICAGO
    820 NORTH MICHIGAN AVENUE
    CHICAGO,IL60611     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 4,000
    BOYS AND GIRLS CLUB OF MARTIN COUNTY
    11954 SE DIXIE HIGHWAY
    HOBE SOUND,FL33475     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 8,500
    BRAIN CHEMISTRY LABS
    PO BOX 3464
    JACKSON,WY83001     		NONE. FOUNDATION MEDICAL RESEARCH 10,000
    BYERSCHOOL FOUNDATION
    1926 ARCH STREET SUITE 3F
    PHILADELPHIA,PA19103     		NONE. FOUNDATION EDUCATIONAL SUPPORT 2,000
    CAPTAINS FOR CLEAN WATER
    PO BOX 1653
    FORT MYERS,FL33902     		NONE. PUBLIC CHARITY ENVIRONMENTAL SUPPORT 1,000
    CLEVELAND CLINIC - MARTIN HEALTH FOUNDATION
    PO BOX 9010
    STUART,FL349952020     		NONE. FOUNDATION HEALTH CARE SUPPORT 20,000
    COME TO BELIEVE NETWORK
    PO BOX 786
    NEW YORK CITY,NY10150     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 5,000
    COUNCIL ON AGING OF MARTIN COUNTY INC
    900 SE SALERNO ROAD
    STUART,FL34997     		NONE. PUBLIC CHARITY SUPPORT FOR THE AGING 15,000
    CRISTO REY JESUIT HIGH SCHOOL
    1852 WEST 22ND PLACE
    CHICAGO,IL60608     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 1,000
    CRISTO REY NETWORK
    11 EAST ADAMS STREET SUITE 800
    CHICAGO,IL60603     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 1,000
    DIOCESE OF PALM BEACH - DIOCESAN SERVICES APPEAL
    9995 NORTH MILITARY TRAIL
    PALM BEACH GARDENS,FL33410     		NONE. PUBLIC CHARITY RELIGIOUS SUPPORT 1,000
    EVERGLADES FOUNDATION
    18001 OLD CUTLER ROAD SUITE 625
    PALMETTO BAY,FL33157     		NONE. FOUNDATION ENVIRONMENTAL SUPPORT 5,000
    FEEDING AMERICA
    35 EAST WACKER DRIVE SUITE 2000
    CHICAGO,IL60601     		NONE. PUBLIC CHARITY FEEDING THE HUNGRY 1,000
    FENIX FAMILY HEALTH CENTER INC
    130 WASHINGTON AVENUE
    HIGHWOOD,IL60040     		NONE. PUBLIC CHARITY HEALTH CARE 15,000
    FIRST RESPONDERS CHILDREN'S FOUNDATION
    38 EAST 32ND STREET SUITE 602
    NEW YORK CITY,NY10016     		NONE. FOUNDATION SUPPORT TO THE FAMILIES OF FIRST RESPONDERS 1,000
    FLORIDA ATLANTIC UNIVERSITY LIFE LONG LEARNING
    5353 PARKSIDE DRIVE PA134
    JUPITER,FL334589972     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 1,000
    FLORIDA OCEANOGRAPHIC SOCIETY
    890 NE OCEAN BLVD
    STUART,FL34996     		NONE. PUBLIC CHARITY ENVIRONMENTAL SUPPORT 10,000
    FOUNDATION FOR TOMORROW
    PO BOX 470836
    CHARLOTTE,NC28247     		NONE. PUBLIC CHARITY SUPPORT OF INTERNATIONAL EDUCATION 1,500
    FRED HUTCHINSON CANCER RESEARCH CENTER
    1100 FAIRVIEW AVENUE N
    SEATTLE,WA98109     		NONE. PUBLIC CHARITY CANCER RESEARCH 7,000
    GENERATION SPIRIT
    352 RUSSELL SLADE BLVD
    CORALVILLE,IA52241     		NONE. PUBLIC CHARITY MENTAL HEALTH SUPPORT 1,000
    GEORGETOWN UNIVERSITY
    2115 WISCONSIN AVENUE NW 500
    WASHINGTON,DC20007     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 18,000
    HABITAT FOR HUMANITY OF MARTIN COUNTY INC
    2555 SE BONITA STREET
    STUART,FL34997     		NONE. PUBLIC CHARITY HOUSING FOR LOW INCOME FAMILIES 2,000
    HELPING PEOPLE SUCCEED
    1601 NE BRAILLE PLACE
    JENSEN BEACH,FL34957     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 500
    HOBE SOUND COMMUNITY CHEST
    PO BOX 511
    HOBE SOUND,FL33475     		NONE. PUBLIC CHARITY SUPPORT FOR THE HOMELESS AND HUNGRY 12,500
    HOBE SOUND FINE ARTS LEAGUE
    8879 SE BRIDGE ROAD
    HOBE SOUND,FL33455     		NONE. PUBLIC CHARITY SUPPLY ART SUPPLIES FOR PUBLIC SCHOOLS 1,000
    HOBE SOUND NATURE CENTER
    PO BOX 214
    HOBE SOUND,FL33475     		NONE. PUBLIC CHARITY ENVIRONMENTAL SUPPORT 5,500
    HOPE RURAL SCHOOL
    15929 SW 150TH STREET
    INDIANTOWN,FL34956     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 2,000
    HOUSE OF HOPE
    2484 SE BONITA STREET
    STUART,FL34997     		NONE. PUBLIC CHARITY AID THE HOMELESS AND HUNGRY 15,000
    JESUIT REFUGEE SERVICEUSA
    1627 K ST NW SUITE 1100
    WASHINGTON,DC20036     		NONE. PUBLIC CHARITY AID FOR INTERNATIONAL REFUGEES 2,000
    JUPITER MEDICAL CENTER FOUNDATION
    1210 S OLD DIXIE HIGHWAY
    JUPITER,FL334589972     		NONE. FOUNDATION HEALTH CARE SUPPORT 1,000
    KELLOGG GRADUATE SCHOOL OF MGMT
    2020 RIDGE AVENUE 230
    EVANSTON,IL60201     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 5,000
    LAWRENCEVILLE SCHOOL
    PO BOX 6125
    LAWRENCEVILLE,NJ086489987     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 4,000
    LOBLOLLY COMMUNITY FOUNDATION INC
    7407 SE HILL TERRACE
    HOBE SOUND,FL33455     		NONE. FOUNDATION EDUCATIONAL AND HEALTH CARE SUPPORT 13,500
    MISS INC (MOTHERS AND INFANTS STRIVING FOR SUCCESS INC)
    4434 SE CLECKLEY WAY
    STUART,FL34997     		NONE. PUBLIC CHARITY AID TO THE HOMELESS 5,000
    MALTZ JUPITER THEATRE
    1001 EAST INDIANTOWN ROAD
    JUPITER,FL33477     		NONE. PUBLIC CHARITY SUPPORT FOR THE ARTS 3,000
    MANHATTANVILLE COLLEGE
    2900 PURCHASE STREET
    PURCHASE,NY10577     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 5,000
    MAYO CLINIC
    200 FIRST STREET SW
    ROCHESTER,MN55905     		NONE. PUBLIC CHARITY HEALTH CARE SUPPORT 1,000
    MEDICAL UNIVERSITY OF SOUTH CAROLINA HOLLINGS CANCER CENTER
    86 JONATHAN LUCAS STREET MSC 955
    CHARLESTON,SC29425     		NONE. PUBLIC CHARITY CANCER RESEARCH 20,000
    MEPKIN ABBEY
    1098 MEPKIN ABBEY ROAD
    MONCKS CORNER,SC29461     		NONE. PUBLIC CHARITY RELIGIOUS SUPPORT 2,000
    MERCER ISLAND SCHOOL FOUNDATION
    PO BOX 1243
    MERCER ISLAND,WA98040     		NONE. FOUNDATION EDUCATIONAL SUPPORT 4,000
    NASAREANORG
    112 S MAIN STREET 181
    STOWE,VT05672     		NONE. PUBLIC CHARITY REFUGEE SUPPORT 1,000
    NORTHERN VIRGINIA EMERGENCY MEDICAL SERVICES COUNCIL INC
    7250 HERITAGE VILLAGE PLAZA SUITE
    102
    GAINESVILLE,VA20155     		NONE. PUBLIC CHARITY ASHES2ART PROGRAM FOR FIRST RESPONDERS 27,000
    OCEANA
    1025 CONNECTICUT AVENUE NW SUITE
    200
    WASHINGTON,DC20036     		NONE. PUBLIC CHARITY SUPPORT FOR CLEANING THE ENVIRONMENT 1,000
    ONE80 PLACE
    PO BOX 20038
    CHARLESTON,SC29413     		NONE. PUBLIC CHARITY AID THE HOMELESS AND HUNGRY 10,000
    PAN MASS CHALLENGE
    77 4TH AVENUE
    NEEDHAM,MA02494     		NONE. PUBLIC CHARITY CANCER RESEARCH 5,000
    PAY IT FORWARD FOUNDATION - THE BARSTOOL FUND
    1314 RIGBY ROAD
    CHARLOTTESVILLE,VA22903     		NONE. FOUNDATION FEEDING THE HUNGRY 2,500
    REDEEMER LUTHERAN CHURCH
    2450 SE OCEAN BLVD
    STUART,FL34996     		NONE. PUBLIC CHARITY AID TO THE HOMELESS AND HUNGRY 10,000
    RIVERS COALITION INC
    PO BOX 2627
    STUART,FL34995     		NONE. PUBLIC CHARITY ENVIRONMENTAL SUPPORT 2,000
    ROBIN HOOD
    826 BROADWAY 9TH FLOOR
    NEW YORK CITY,NY10003     		NONE. FOUNDATION EMERGENCY ASSISTANCE DUE TO COVID-19 2,500
    SALVATION ARMY
    821 SE MARTIN LUTHER KING JR BLVD
    STUART,FL34994     		NONE. PUBLIC CHARITY AID TO THE HOMELESS AND HUNGRY 10,000
    ST CHRISTOPHER CHURCH
    12001 SE FEDERAL HIGHWAY
    HOBE SOUND,FL33455     		NONE. PUBLIC CHARITY RELIGIOUS SUPPORT 17,500
    ST VINCENT DE PAUL SOCIETY
    12001 SE FEDERAL HIGHWAY
    HOBE SOUND,FL33455     		NONE. PUBLIC CHARITY RELIGIOUS SUPPORT 10,000
    TAKE STOCK IN CHILDREN-PALM BEACH COUNTY
    1896 PALM BEACH LAKES BLVD
    WEST PALM BEACH,FL33409     		NONE. PUBLIC CHARITY EDUCATIONAL SUPPORT 20,000
    THE LIFE YOU CAN SAVE
    975 WARD ROAD
    SEQUIM,WA98382     		NONE. PUBLIC CHARITY MENTAL HEALTH SUPPORT 1,000
    THE WISTAR INSTITUTE
    3601 SPRUCE STREET
    PHILADELPHIA,PA19104     		NONE. PUBLIC CHARITY CANCER RESEARCH 5,000
    TOP BOX FOODS
    222 MERCHANDISE MART PLAZA
    CHICAGO,IL60654     		NONE. PUBLIC CHARITY FOOD PANTRY 5,000
    TREASURE COAST FOOD BANK
    401 ANGLE ROAD
    FORT PIERCE,FL34947     		NONE. PUBLIC CHARITY FEEDING THE HUNGRY 10,000
    TREASURE COAST HOSPICE FOUNDATION
    1201 SE INDIAN STREET
    STUART,FL34997     		NONE. FOUNDATION MEDICAL CARE AND SUPPORT 3,000
    TYKES AND TEENS
    3577 SW CORPORATE PARKWAY
    PALM CITY,FL34990     		NONE. FOUNDATION SUPPORT OF MENTAL HEALTH SERVICES FOR CHILDREN AND FAMILIES 1,000
    UNITED WAY OF MARTIN COUNTY
    PO BOX 362
    STUART,FL34995     		NONE. PUBLIC CHARITY COMMUNITY-WIDE SUPPORT FOR HOMELESS, HUNGRY & HEALTH CARE 15,000
    UNIVERSTIY OF CHICAGO MEDICAL CENTER-CPCI
    130 EAST RANDOLPH STREET 1400
    CHICAGO,IL60601     		NONE. PUBLIC CHARITY CANCER RESEARCH 1,000
    VISITING NURSE FOUNDATION
    2400 SE MONTEREY ROAD SUITE 300
    STUART,FL34996     		NONE. FOUNDATION HEALTHCARE SUPPORT 1,000
    VOLUNTEERS IN MEDICINE
    417 SE BALBOA AVENUE
    STUART,FL34994     		NONE. FOUNDATION HEALTH CARE SUPPORT 3,000
    WATER MISSIONS INTERNATIONAL
    PO BOX 71489
    N CHARLESTON,SC29415     		NONE. PUBLIC CHARITY INTERNATIONAL HEALTH CARE 4,000
    WE FIGHT LIKE GIRLS
    71 VIRGINIA AVENUE
    LONG BEACH,NY11561     		NONE. PUBLIC CHARITY SUPPORT FOR CANCER SURVIVORS 1,000
    WORLD CENTRAL KITCHEN
    655 NEW YORK AVENUE NW 6TH FLOOR
    WASHINGTON,DC20001     		NONE. PUBLIC CHARITY FEEDING THE HUNGRY 5,000
    Total .................................bullet 3a 415,500
    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 ............     		    18 440,659  
    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) .. 197,515 524,112 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    721,627
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    SUSAN R AND JOHN W SULLIVAN FOUNDATION
    EIN:
    22-2612047
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 5,950 2,975   2,975
    PAYROLL SERVICES 126 63   63

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    SUSAN R AND JOHN W SULLIVAN FOUNDATION
    EIN:
    22-2612047
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS - SCHWAB #5003 254,618 258,927

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    SUSAN R AND JOHN W SULLIVAN FOUNDATION
    EIN:
    22-2612047
    US Government Securities - End of Year Book Value:

    260,809
    US Government Securities - End of Year Fair Market Value:

    259,696
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2021 InvestmentsOtherSchedule2
    Name:
    SUSAN R AND JOHN W SULLIVAN FOUNDATION
    EIN:
    22-2612047
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS - SCHWAB #7236 FMV 3,535,118 4,673,606
    NMS-ELON TOWN CENTER FMV 73,597 140,000
    SAGIL LATIN AMERICAN OPPORTUNITY FUND FMV 200,000 406,763
    SHEM CREEK CAPITAL FUND FMV 18,362 28,131
    TANGO NET, INC. SERIES A STOCK FMV 150,000 0
    TANGO NET, INC. SERIES B STOCK FMV 126,656 0
    TANGO NET, INC. SERIES C STOCK FMV 206,161 0
    ARBORETUM PARTNERS, LLC FMV 2,599 847

    TY 2021 OtherExpensesSchedule
    Name:
    SUSAN R AND JOHN W SULLIVAN FOUNDATION
    EIN:
    22-2612047
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 27,609 27,609   0
    INVESTMENT INTEREST EXPENSE PASS THROUGH ENTITIES 1,597 1,597   0
    LICENSE AND FEE 61 31   30
    OTHER EXPENSES PASS THRU ENTITY 160 160   0
    BANK SERVICE CHARGES 85 0   85
    ARBORETUM PARTNERS LLC 0 1,925   0


    TY 2021 OtherIncomeSchedule2
    Name:
    SUSAN R AND JOHN W SULLIVAN FOUNDATION
    EIN:
    22-2612047
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    SHEM CREEK CAPITAL FUND III, LLC 2,463 0 2,463
    NMS-ELON TOWN CENTER, LLC 6,034 0 6,034
    NMS-ELON TOWN CENTER, LLC 1,925 1,925 1,925
    ARBORETUM PARTNERS, LLC - SEC 1231 GAIN 236,677 0 236,677
    ARBORETUM PARTNERS, LLC -47,659 0 -47,659


    TY 2021 OtherLiabilitiesSchedule
    Name:
    SUSAN R AND JOHN W SULLIVAN FOUNDATION
    EIN:
    22-2612047
    Description Beginning of Year - Book Value End of Year - Book Value
    ARBORETUM PARTNERS, LLC 33,635 0
    OTHER PAYABLE 0 375


    TY 2021 TaxesSchedule
    Name:
    SUSAN R AND JOHN W SULLIVAN FOUNDATION
    EIN:
    22-2612047
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAXES ON INVESTMENT INCOME 1,338 0   0
    FOREIGN TAX PAID ON DIVIDENDS 669 669   0
    PAYROLL TAXES 5,711 2,856   2,855
    STATE TAXES 244 0   0