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
DANA B AND JAMES K GULLEY MEMORIAL
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 919798
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ORLANDO, FL328919798
A Employer identification number

35-7257918
B Telephone number (see instructions)

(804) 273-7445
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$0
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 470 470  
4 Dividends and interest from securities... 7,609 7,587  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 942,231
b Gross sales price for all assets on line 6a 2,130,542
7 Capital gain net income (from Part IV, line 2)... 942,231
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 950,310 950,288  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 10,264 0 0 10,264
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 15,422 129   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 35 15   20
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 25,721 144 0 10,284
25 Contributions, gifts, grants paid....... 2,156,349 2,156,349
26 Total expenses and disbursements. Add lines 24 and 25 2,182,070 144 0 2,166,633
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -1,231,760
b Net investment income (if negative, enter -0-) 950,144
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 42,092    
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 603,283    
c Investments—corporate bonds (attach schedule)....... 585,049    
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,230,424 0 0
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 1,230,424 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,230,424 0
30 Total liabilities and net assets/fund balances (see instructions). 1,230,424 0
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
1,230,424
2
Enter amount from Part I, line 27a .....................
2
-1,231,760
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
1,358
4
Add lines 1, 2, and 3 ..........................
4
22
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
22
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
 
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 208. AIA GROUP LTD SPONS ADR   2012-06-11 2021-03-11
b 120. ABBOTT LABORATORIES     2021-03-11
c 89. ABBVIE INC     2021-03-11
d 19. ADIDAS AG ADR     2021-03-11
e 163. L'AIR LIQUIDE UNSPONS ADR   2011-12-27 2021-03-11
59. AIR LEASE CORP     2021-03-11
42. ALASKA AIR GROUP INC     2021-03-11
29. ALEXANDRIA REAL ESTATE EQ REIT     2021-03-11
19. ALEXION PHARMACEUTICALS INC     2021-03-11
85. ALFA LAVAL AB UNSPONS ADR     2021-03-11
69. ALIBABA GROUP HLDG LTD   2016-02-01 2021-03-11
211. ALLIANZ SE UNSPONS ADR   2012-06-11 2021-03-11
5. ALPHABET INC CL C     2021-03-11
5. ALPHABET INC CL A     2021-03-11
18. AMAZON INC COMMON   2012-06-11 2021-03-11
556. AMBEV SA SPONS ADR     2021-03-11
38. AMEREN CORPORATION COMMON     2021-03-11
22. AMERICAN EXPRESS COMPANY     2021-03-11
31. AMERISOURCEBERGEN CORP. COMMON     2021-03-11
34. AMETEK INC COMMON     2021-03-11
20. AMGEN INCORPORATED     2021-03-11
81. ANALOG DEVICES INC     2021-03-11
44. ANIKA THERAPEUTICS INC     2021-03-11
41. ELEVANCE HEALTH INC     2021-03-11
644. APPLE COMPUTER CORPORATION COMMON     2021-03-11
26. ASPEN TECHNOLOGY INC   2020-02-10 2021-03-11
129. ATLAS COPCO AB SP ADR     2021-03-11
77. AUTODESK, INC. COMMON     2021-03-11
14. AUTOMATIC DATA PROCESSING INC     2021-03-11
65. BADGER METER INC     2021-03-11
25. BAIDU INC SPON ADR     2021-03-11
646. BANCO BILBAO VIZCAYA ARGENTA SPONSORED ADR     2021-03-11
41. BANK OF HAWAII CORP     2021-03-11
8. BIO-RAD LABS CLASS A     2021-03-11
36. BIOMARIN PHARMACEUTICAL INC     2021-03-11
16. BLACKROCK INC     2021-03-11
100. AZENTA INC     2021-03-11
46. CDW CORP     2021-03-11
51. CVS CORP COMMON   2017-03-07 2021-03-11
37. CANADIAN NATL RY CO     2021-03-11
34. CARVANA CO CL A     2021-03-11
24. CASEY'S GENERAL STORES, INC. COMMON     2021-03-11
74. CERNER CORP     2021-03-11
70. CHAMPIONX CORP     2021-03-11
24. CHARTER COMMUNICATIONS INC CL A   2013-02-25 2021-03-11
73. CHEESECAKE FACTORY INC     2021-03-11
192. CHUGAI PHARMACEUTICAL CO UNSPONS ADR   2019-03-19 2021-03-11
138. CISCO SYSTEMS     2021-03-11
100. CINTAS CORP   2011-08-18 2021-03-11
140. CITIZENS FINANCIAL GROUP INC   2016-02-01 2021-03-11
116. COCA COLA COMPANY     2021-03-11
64. COLGATE PALMOLIVE COMPANY     2021-03-11
59. CROWN CASTLE INC REIT     2021-03-11
59. DBS GROUP HOLDINGS LTD SPONS ADR     2021-03-11
16. DTE ENERGY CO FKA DETROIT EDISION CO     2021-03-11
358. DANONE SPONS ADR   2017-03-07 2021-03-11
117. DASSAULT SYS S A SPONS ADR   2011-12-27 2021-03-11
38. DEERE & COMPANY     2021-03-11
19. DIAGEO PLC SPONSORED ADR     2021-03-11
128. DISCOVER FINL SVCS     2021-03-11
3085.708 DODGE & COX INCOME FUND     2021-03-11
4081.723 DOUBLELINE TOTL RET BND-I     2021-03-11
164. ENBRIDGE INC     2021-03-11
66. EPIROC AKTIEBOLAG UNSPONS ADR   2019-03-19 2021-03-11
46. EVERSOURCE ENERGY     2021-03-11
16. EXPEDIA INC COMMON   2019-03-19 2021-03-11
88. EXPEDITORS INTERNATIONAL     2021-03-11
69. FACEBOOK INC CL A   2017-03-07 2021-03-11
16. FACTSET RESH SYS INC   2016-02-01 2021-03-11
82. FANUC CORP ADR     2021-03-11
3171.173 FEDERATED HERMES INSTL HIYD BD   2016-02-01 2021-03-11
126. FIRST FINL BANKSHARES INC     2021-03-11
34. FIRST REPUBLIC BANK COMMON     2021-03-11
16. FOMENTO ECON MEXICANO SPONS ADR   2019-03-19 2021-03-11
54. FOOT LOCKER INC. COMMON     2021-03-11
82. FUCHS PETROLUB SE PFD ADR   2016-02-01 2021-03-11
183. GENERAL MOTORS CO     2021-03-11
57. GRACO INC     2021-03-11
33. HDFC BANK LTD ADR     2021-03-11
58. HARTFORD FINL SVCS GROUP INC COMMON     2021-03-11
33. HASBRO INC     2021-03-11
12. JACK HENRY & ASSOCIATES INC COMMON     2021-03-11
44. HOME DEPOT INCORPORATED     2021-03-11
51. HONEYWELL INTERNATIONAL INC     2021-03-11
67. HOULIHAN LOKEY INC CL A     2021-03-11
20. HUMANA, INC.   2013-02-25 2021-03-11
14. IPG PHOTONICS     2021-03-11
196. ICICI BANK LTD ADR     2021-03-11
70. ILLINOIS TOOL WORKS     2021-03-11
179. INFINEON TECHNOLOGIES AG SPON ADR     2021-03-11
30. INGERSOLL-RAND INC     2021-03-11
400. ISHARES TR MSCI SMALL CAP ETF   2011-12-30 2021-03-11
206. ITA UNIBANCO HOLDINGS SPON ADR PFD   2016-02-01 2021-03-11
58. JOHNSON & JOHNSON     2021-03-11
14. JONES LANG LASALLE INC     2021-03-11
28. KEYSIGHT TECHNOLOGIES INC   2020-02-10 2021-03-11
56. KOMATSU LTD SPON ADR     2021-03-11
32. KUBOTA SPONS ADR     2021-03-11
82. L'OREAL CO UNSPONS ADR     2021-03-11
25. L3 HARRIS TECHNOLOGIES INC     2021-03-11
14. LAM RESH CORP     2021-03-11
33. LANDSTAR SYSTEM INC COMMON     2021-03-11
16. LINCOLN ELEC HLDGS INC     2021-03-11
49. LIVE NATION ENTERTAINMENT INC   2019-03-19 2021-03-11
85. LONZA GROUP AG UNSPONS ADR   2018-07-13 2021-03-11
134. MGM GROWTH PROPERTIES LLC REIT     2021-03-11
34. MASONITE INTERNATIONAL CORP     2021-03-11
94. MAXIM INTEGRATED PRODUCTS INC COMON     2021-03-11
122. MERCK & CO INC     2021-03-11
3598.143 METROPOLITAN WEST T/R BD-PLN     2021-03-11
330. MICROSOFT CORPORATION     2021-03-11
30. MOHAWK IND INC COMMON   2011-08-18 2021-03-11
140. MONSTER BEVERAGE CORP     2021-03-11
67. NASDAQ OMX GROUP INC     2021-03-11
26. NATIONAL BEVERAGE CORP     2021-03-11
65. NESTLE SA ADR   2011-12-27 2021-03-11
40. NOVARTIS AG     2021-03-11
128. NOVO-NORDISK A S ADR     2021-03-11
30. NOVOZYMES A/S UNSPONS ADR     2021-03-11
23. NVIDIA CORP COMMON   2019-03-19 2021-03-11
85. OCCIDENTAL PETE CORP     2021-03-11
10. OCCIDENTAL PETROLEUM - WTS 8/03/27   2020-08-03 2021-03-11
19. OLD DOMINION FREIGHT LINE INC     2021-03-11
215. ORACLE SYSTEM CORPORATION     2021-03-11
30. LUKOIL PJSC SPONS ADR   2020-02-10 2021-03-11
61. PEPSICO INCORPORATED     2021-03-11
63. PHILLIPS 66   2019-03-19 2021-03-11
120. PRESTIGE CONSUMER HEALTHCARE I COMMON   2011-08-18 2021-03-11
27. PRIMERICA INC     2021-03-11
57. PROCTOR AND GAMBLE COMPANY     2021-03-11
42. PROGESSIVE CORP., OHIO COMMON   2018-07-13 2021-03-11
24. PROLOGIS INC REIT   2016-02-01 2021-03-11
2579.244 PGIM SHRT TRM CORP BND-Q     2021-03-11
90. QUALCOMM INC COMMON     2021-03-11
30. RLI CORP     2021-03-11
26. RBC BEARINGS INC     2021-03-11
17. REGENERON PHARMACEUTICALS INC     2021-03-11
176. ROCHE HLDG LTD SPONS ADR     2021-03-11
13. ROCKWELL INTERNATIONAL CORP NEW     2021-03-11
200. ROSS STORES INC COM   2011-08-18 2021-03-11
39. ROYAL DUTCH SHELL PLC SPONS ADR B   2017-03-07 2021-03-11
92. SEI INVESTMENTS CO     2021-03-11
42. SAP AKTIENGESELLSCHAFT   2011-12-27 2021-03-11
120. SCHLUMBERGER LTD     2021-03-11
50. SCOTTS CO CL A     2021-03-11
50. SEMPRA ENERGY   2011-08-18 2021-03-11
67. SERVICE CORP INTL COM     2021-03-11
60. SIGNATURE BANK   2011-08-18 2021-03-11
62. SITEONE LANDSCAPE SUPPLY INC     2021-03-11
54. SONOVA HOLDING AG UNSPONS ADR   2011-12-27 2021-03-11
19. SPLUNK INC     2021-03-11
260. STARBUCKS CORPORATIONS COMMON     2021-03-11
172. STARWOOD PROPERTY TRUST INC REIT     2021-03-11
40016.502 STERLING CAP TTL RTRN BND-R6     2021-03-11
101. SYMRISE AG UNSPONS ADR     2021-03-11
39. SYNEOS HEALTH INC CL A     2021-03-11
61. SYSMEX CORP UNSPONS ADR   2016-02-01 2021-03-11
383. TAIWAN SEMICONDUCTOR MFG LTD SPONSORED ADR     2021-03-11
10. TELEDYNE TECHNOLOGIES INC     2021-03-11
50. TENCENT HOLDINGS LIMITED LTD UNSPONS ADR     2021-03-11
90. TEXAS INSTRUMENTS INCORPORATED   2011-08-18 2021-03-11
30. THOR INDUSTRIES INC     2021-03-11
160. TORO COMPANY COMMON   2011-08-18 2021-03-11
100. THE TRAVELERS COMPANIES INC.   2004-09-01 2021-03-11
32. TYSON FOODS, INC. COMMON   2020-02-10 2021-03-11
220. UNICHARM CORP SPONS ADR   2019-03-19 2021-03-11
38. UNILEVER PLC-SPONSORED ADR   2011-08-18 2021-03-11
72. UNITED PARCEL SERVICES B     2021-03-11
46. VARIAN MED SYS INC     2021-03-11
145. VERIZON COMMUNICATIONS INC     2021-03-11
88. VISA INC   2017-03-07 2021-03-11
23. VORNADO REALTY TRUST     2021-03-11
14. WD40 - COMPANY COMMON     2021-03-11
90. WEC ENERGY GROUP INC   2011-08-18 2021-03-11
28. WASTE CONNECTIONS INC     2021-03-11
150. WASTE MANAGEMENT INC NEW     2021-03-11
19. WATSCO INC CL A     2021-03-11
124. WELLS FARGO & CO NEW     2021-03-11
68. WESTERN ALLIANCE BANCORPORATION     2021-03-11
30. WHIRLPOOL CORP   2011-08-18 2021-03-11
38. XILINX INC     2021-03-11
43. YUM! BRANDS, INC. COMMON     2021-03-11
73. YUM CHINA HOLDINGS INC     2021-03-11
110. AMDOCS LTD ORD   2011-08-18 2021-03-11
94. ARCH CAPITAL GROUP LTD     2021-03-11
49. ACCENTURE PLC IRELAND SHS     2021-03-11
16. ICON PLC     2021-03-11
16. LINDE PLC   2019-03-19 2021-03-11
35. APTIV PLC     2021-03-11
34. TRANE TECHNOLOGIES PLC     2021-03-11
57. CHUBB LTD     2021-03-11
85. ARDAGH GROUP SA     2021-03-11
44. CHECKPOINT SOFTWARE TECHNOLOGY COMMON     2021-03-11
28. CORE LABORATORIES N V   2016-02-01 2021-03-11
50. YANDEX N V SHS CLASS A     2021-03-11
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 10,897   2,771 8,126
b 14,089   3,072 11,017
c 9,648   2,223 7,425
d 3,407   2,300 1,107
e 5,202   2,724 2,478
3,004   1,659 1,345
2,757   2,876 -119
4,733   2,451 2,282
2,898   2,374 524
2,765   1,591 1,174
16,590   4,636 11,954
5,388   1,918 3,470
10,572   1,374 9,198
10,499   1,383 9,116
56,292   3,972 52,320
1,526   2,362 -836
2,898   2,811 87
3,238   1,251 1,987
3,388   1,278 2,110
4,221   1,842 2,379
4,642   1,784 2,858
12,263   7,810 4,453
1,602   1,479 123
13,774   3,382 10,392
78,783   10,317 68,466
3,968   3,374 594
7,799   3,199 4,600
21,159   2,582 18,577
2,574   1,258 1,316
6,778   2,935 3,843
6,657   3,565 3,092
3,621   4,182 -561
3,826   3,399 427
4,547   2,487 2,060
2,801   2,620 181
11,637   2,500 9,137
8,494   2,983 5,511
7,388   1,938 5,450
3,707   4,124 -417
4,277   1,489 2,788
9,345   2,069 7,276
4,860   1,237 3,623
5,292   4,283 1,009
1,749   2,406 -657
15,028   4,271 10,757
4,279   3,525 754
3,957   2,189 1,768
6,740   4,878 1,862
36,234   2,910 33,324
6,231   2,909 3,322
5,940   4,998 942
4,847   4,221 626
9,203   5,570 3,633
5,003   2,397 2,606
2,033   1,805 228
4,917   4,711 206
24,936   4,612 20,324
13,860   4,440 9,420
3,174   3,088 86
13,135   6,665 6,470
44,280   41,309 2,971
43,062   44,835 -1,773
5,952   4,987 965
1,413   670 743
3,752   2,613 1,139
2,792   1,954 838
8,699   3,840 4,859
19,011   9,509 9,502
5,003   2,400 2,603
2,005   1,237 768
31,521   28,348 3,173
6,246   3,235 3,011
5,797   2,634 3,163
1,213   1,441 -228
3,063   2,114 949
1,030   849 181
10,299   5,532 4,767
3,914   2,240 1,674
2,748   1,635 1,113
3,191   2,977 214
3,190   2,668 522
1,813   1,180 633
11,824   8,306 3,518
10,913   3,335 7,578
4,553   3,120 1,433
8,067   1,411 6,656
3,006   1,311 1,695
3,405   1,481 1,924
15,013   3,112 11,901
7,292   4,630 2,662
1,490   828 662
28,855   13,984 14,871
1,002   801 201
9,301   4,795 4,506
2,454   1,741 713
3,847   2,639 1,208
1,768   1,348 420
3,677   2,439 1,238
6,310   1,785 4,525
4,735   3,158 1,577
7,547   2,757 4,790
5,358   3,211 2,147
1,963   1,381 582
4,358   3,065 1,293
5,081   2,446 2,635
4,388   3,844 544
3,991   2,294 1,697
8,405   2,767 5,638
9,164   7,389 1,775
36,737   34,994 1,743
78,818   8,239 70,579
5,559   1,316 4,243
12,537   6,787 5,750
9,693   4,992 4,701
1,433   976 457
7,061   3,710 3,351
3,402   1,938 1,464
9,190   4,623 4,567
1,950   1,551 399
11,918   4,031 7,887
2,656   5,474 -2,818
149   57 92
4,367   2,082 2,285
14,496   7,227 7,269
2,584   2,976 -392
8,182   4,183 3,999
5,545   6,220 -675
5,510   1,068 4,442
4,115   2,666 1,449
7,250   4,613 2,637
3,922   2,464 1,458
2,394   1,045 1,349
29,274   28,548 726
11,918   4,299 7,619
3,422   1,889 1,533
5,044   2,883 2,161
8,034   6,248 1,786
7,337   4,035 3,302
3,458   1,332 2,126
24,540   3,449 21,091
1,631   2,177 -546
5,495   3,787 1,708
5,337   2,241 3,096
3,587   7,831 -4,244
10,848   4,195 6,653
6,413   2,448 3,965
3,233   1,734 1,499
14,035   3,085 10,950
10,793   3,066 7,727
2,749   1,107 1,642
2,646   2,143 503
28,210   10,135 18,075
4,121   3,944 177
440,982   407,015 33,967
3,060   1,635 1,425
2,904   1,709 1,195
3,051   1,986 1,065
45,983   4,324 41,659
3,937   1,114 2,823
4,437   2,399 2,038
15,758   2,302 13,456
4,136   2,629 1,507
16,262   1,922 14,340
15,487   3,428 12,059
2,398   2,579 -181
1,834   1,590 244
2,074   1,269 805
12,107   6,724 5,383
8,106   3,173 4,933
8,146   5,772 2,374
20,039   7,856 12,183
1,099   1,885 -786
4,338   2,168 2,170
7,881   2,727 5,154
2,877   2,398 479
18,052   4,611 13,441
4,642   2,673 1,969
4,862   6,228 -1,366
6,571   2,600 3,971
6,166   1,746 4,420
4,770   1,195 3,575
4,527   2,371 2,156
4,490   1,876 2,614
8,789   2,901 5,888
3,478   1,283 2,195
13,077   6,425 6,652
2,874   2,046 828
4,299   2,770 1,529
5,339   2,711 2,628
5,581   2,856 2,725
9,807   7,828 1,979
2,231   1,448 783
5,130   2,802 2,328
1,129   2,681 -1,552
3,315   1,804 1,511
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
      91
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       8,126
b       11,017
c       7,425
d       1,107
e       2,478
      1,345
      -119
      2,282
      524
      1,174
      11,954
      3,470
      9,198
      9,116
      52,320
      -836
      87
      1,987
      2,110
      2,379
      2,858
      4,453
      123
      10,392
      68,466
      594
      4,600
      18,577
      1,316
      3,843
      3,092
      -561
      427
      2,060
      181
      9,137
      5,511
      5,450
      -417
      2,788
      7,276
      3,623
      1,009
      -657
      10,757
      754
      1,768
      1,862
      33,324
      3,322
      942
      626
      3,633
      2,606
      228
      206
      20,324
      9,420
      86
      6,470
      2,971
      -1,773
      965
      743
      1,139
      838
      4,859
      9,502
      2,603
      768
      3,173
      3,011
      3,163
      -228
      949
      181
      4,767
      1,674
      1,113
      214
      522
      633
      3,518
      7,578
      1,433
      6,656
      1,695
      1,924
      11,901
      2,662
      662
      14,871
      201
      4,506
      713
      1,208
      420
      1,238
      4,525
      1,577
      4,790
      2,147
      582
      1,293
      2,635
      544
      1,697
      5,638
      1,775
      1,743
      70,579
      4,243
      5,750
      4,701
      457
      3,351
      1,464
      4,567
      399
      7,887
      -2,818
      92
      2,285
      7,269
      -392
      3,999
      -675
      4,442
      1,449
      2,637
      1,458
      1,349
      726
      7,619
      1,533
      2,161
      1,786
      3,302
      2,126
      21,091
      -546
      1,708
      3,096
      -4,244
      6,653
      3,965
      1,499
      10,950
      7,727
      1,642
      503
      18,075
      177
      33,967
      1,425
      1,195
      1,065
      41,659
      2,823
      2,038
      13,456
      1,507
      14,340
      12,059
      -181
      244
      805
      5,383
      4,933
      2,374
      12,183
      -786
      2,170
      5,154
      479
      13,441
      1,969
      -1,366
      3,971
      4,420
      3,575
      2,156
      2,614
      5,888
      2,195
      6,652
      828
      1,529
      2,628
      2,725
      1,979
      783
      2,328
      -1,552
      1,511
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 942,231
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 13,207
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 13,207
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 15,068
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  
7 Total credits and payments. Add lines 6a through 6d.............. 7 15,068
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,861
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet0 RefundedBullet 11 1,861
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
Yes
 
If "Yes," attach the statement required by General Instruction T.Click to see attachment
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)
    bulletNC
    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 addressbullet  
    14
    The books are in care ofbulletTRUIST BANK Telephone no.bullet (804) 273-7445

    Located atbulletP O BOX 919798ORLANDOFL ZIP+4bullet328919798
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    TRUIST BANK TRUSTEE
    1
    0    
    P O BOX 919798
    ORLANDO,FL328919798
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    432,349
    b
    Average of monthly cash balances.......................
    1b
    383,169
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    815,518
    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
    815,518
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    12,233
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    803,285
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    40,164
    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
    40,164
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    13,207
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    13,207
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    26,957
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    26,957
    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
    26,957
    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 26,957
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 71,175
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 2,166,633
    a Applied to 2020, but not more than line 2a 71,175
    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..... 26,957
    e Remaining amount distributed out of corpus 2,068,501
    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 2,068,501
    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 ......
    2,068,501
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 2,068,501
    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
    SUNBEAM BAPTIST CHURCH
    31226 SUNBEAM RD
    FRANKLIN,VA23851
    NONE PC GENERAL OPERATING 718,783
    SAINT PAUL UNITED METHODIST
    CHURCH
    204 EAST CHESTNUT STREET
    GOLDSBORO,NC27530
    NONE PC GENERAL OPERATING 718,783
    FIRST BAPTIST CHURCH OF
    GOLDSBORO
    125 SOUTH JOHN STREET
    GOLDSBORO,NC27530
    NONE PC GENERAL OPERATING 718,783
    Total .................................bullet 3a 2,156,349
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
        14 470  
    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 ............
        18 942,231  
    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) ..   950,310  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    950,310
    (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 InvestmentsCorpBondsSchedule
    Name:
    DANA B AND JAMES K GULLEY MEMORIAL
    EIN:
    35-7257918
    Name of Bond End of Year Book Value End of Year Fair Market Value
    256210105 DODGE & COX INCOME F    
    258620103 DOUBLELINE TOTAL RET    
    31420B847 FEDERATED INST HI YL    
    592905764 METROPOLITAN WEST T/    
    74441R607 PGIM SH/T RM CORP BD    
    85918D624 STERLING CAPITAL TOT    

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    DANA B AND JAMES K GULLEY MEMORIAL
    EIN:
    35-7257918
    Name of Stock End of Year Book Value End of Year Fair Market Value
    02079K107 ALPHABET INC-CL C CO    
    0279K305 ALPHABET INC-CL A COM    
    056752108 BAIDU INC    
    16119P108 CHARTER COMMUNICATIO    
    30303M102 FACEBOOK INC- A COMM    
    538034109 LIVE NATION COMMON    
    88032Q109 TENCENT HOLDINGS LIM    
    92343V104 VERIZON COMMUNICATIO    
    N97284108 YANDEX NV-A    
    00687A107 ADIDAS AG    
    01607W102 ALIBABA GROUP HOLDIN    
    023135106 AMAZON.COM INC COMMO    
    146869102 CARVANA CO COMMON    
    163072101 CHEESECAKE FACTORY C    
    30212P303 EXPEDIA INC COMMON    
    344849104 FOOTLOCKER INC.COMMO    
    37045V100 GENERAL MOTORS CO. C    
    418056107 HASBRO INC COMMON    
    437076102 HOME DEPOT INC COMMO    
    608190104 MOHAWKIND INC COMMON    
    778296103 ROSS STORES INC COMM    
    817565104 SERVICE CORP INTL CO    
    855244109 STARBUCKS CORP COMMO    
    885160101 THOR INDS INC COMMON    
    963320106 WHIRLPOOL CORP COMMO    
    988498101 YUM! BRANDS INC COMM    
    98850P109 YUM CHINA HOLDINGS I    
    G6095L109 APTIV PLC APTIV PLC    
    02319V103 AMBEV SA-ADR    
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    174610105 CITIZENS FINANCIAL    
    23304Y100 DBS GROUP HLDS LTD S    
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    32020R109 FIRST FINANCIAL BANK    
    33616C100 FIRST REPUBLIC BANK    
    40415F101 HDFC BANK LTD ADR    
    416515104 HARTFORD FINL SVCS G    
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    670108109 NOVOZYMES A/S UNSPON    
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    TY 2021 LiquidationExplanationStmt
    Name:
    DANA B AND JAMES K GULLEY MEMORIAL
    EIN:
    35-7257918
    Statement:
    COURT ORDER APPROVED TERMINATION. FINAL CASH DISTRIBUTIONS MADE TO SUNBEAM BAPTIST CHURCH, $718,783; SAINT PAUL UNITED METHODIST CHURCH, $718,783 AND FIRST BAPTIST CHURCH OF GOLDSBORO, $718,783.


    TY 2021 LegalFeesSchedule
    Name:
    DANA B AND JAMES K GULLEY MEMORIAL
    EIN:
    35-7257918
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES - PRINCIPAL (ALLOCA 10,000     10,000
    LEGAL FEES - INCOME (ALLOCABLE 264     264


    TY 2021 OtherDecreasesSchedule
    Name:
    DANA B AND JAMES K GULLEY MEMORIAL
    EIN:
    35-7257918
    Description Amount
    RETURN OF CAPITAL ADJUSTMENT 22


    TY 2021 OtherExpensesSchedule
    Name:
    DANA B AND JAMES K GULLEY MEMORIAL
    EIN:
    35-7257918
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER ALLOCABLE EXPENSE-PRINCI 20 0   20
    OTHER EXPENSE (NON-DEDUCTIBLE 15 15   0


    TY 2021 OtherIncreasesSchedule
    Name:
    DANA B AND JAMES K GULLEY MEMORIAL
    EIN:
    35-7257918
    Description Amount
    2020 TRANSACTION POSTED IN 2021 1,349
    ROUNDING 9


    TY 2021 TaxesSchedule
    Name:
    DANA B AND JAMES K GULLEY MEMORIAL
    EIN:
    35-7257918
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 129 129   0
    FEDERAL TAX PAYMENT - PRIOR YE 506 0   0
    FEDERAL ESTIMATES - PRINCIPAL 14,787 0   0