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
THE OSCAR C RIXSON FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 19255
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ASHEVILLE, NC288151255
A Employer identification number

13-6129767
B Telephone number (see instructions)

(828) 274-1121
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$3,713,683
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) 92,872
2 Check bullet.............
3 Interest on savings and temporary cash investments 85 85 85
4 Dividends and interest from securities... 33,346 33,346 33,346
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 108,249
b Gross sales price for all assets on line 6a 452,407
7 Capital gain net income (from Part IV, line 2)... 108,249
8 Net short-term capital gain......... 64,391
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........ 234,552 141,680 97,822
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 22,000 8,500    
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 1,232 616    
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 3,500 1,750    
c Other professional fees (attach schedule).... 14,574 14,574    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 1,865      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 228 114    
21 Travel, conferences, and meetings....... 40 20    
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 2,342 1,170    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 45,781 26,744   0
25 Contributions, gifts, grants paid....... 338,050 338,050
26 Total expenses and disbursements. Add lines 24 and 25 383,831 26,744   338,050
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -149,279
b Net investment income (if negative, enter -0-) 114,936
c Adjusted net income (if negative, enter -0-)... 97,822
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......... 199,781 240,125 240,125
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.......... 2,188 590 590
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,457,680 Click to see attachment1,297,246 2,535,499
c Investments—corporate bonds (attach schedule)....... 952,680 Click to see attachment936,289 937,469
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
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) 2,612,329 2,474,250 3,713,683
Liabilities 17 Accounts payable and accrued expenses.......... 1,280 1,277
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)......... 1,280 1,277
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........... 2,611,049 2,472,973
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........    
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)..... 2,611,049 2,472,973
30 Total liabilities and net assets/fund balances (see instructions). 2,612,329 2,474,250
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
2,611,049
2
Enter amount from Part I, line 27a .....................
2
-149,279
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
11,203
4
Add lines 1, 2, and 3 ..........................
4
2,472,973
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,472,973
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 METWEST T/R BD P   2021-02-02
b METWEST T/R BD P   2021-02-02
c BAIRD 6096 P    
d BAIRD 6096 P    
e
(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 20,000   20,452 -452
b 8,000   8,178 -178
c 281,820   217,429 64,391
d 142,587   98,099 44,488
e
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       -452
b       -178
c       64,391
d       44,488
e
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 2 108,249
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 64,391
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 1,598
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,598
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 2,188
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,188
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 590
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet590 RefundedBullet 11  
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNY, NC
    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 ofbulletTIMOTHY VANWYCK Telephone no.bullet (828) 274-1121

    Located atbullet12 HAYES AVEELLINGTONCT ZIP+4bullet06029
    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
     
     
    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
    DONALD DUNKERTON DIRECTOR
    1.00
    1,000 0 0
    40 D COLFAX MANOR
    ROSELLE PARK,NJ07204
    THOMAS ELLIOTT JR SECXRETARY
    000.00
    0 0 0
    9862 PALACE GREEN WAY
    VIENNA,VA22181
    JAMIE GILBERT VICE-PRESIDE
    2.00
    1,000 0 0
    214 COLLINS MEADOW DR 4
    GEORGETOWN,SC29440
    SAJAN JOSEPH DIRECTOR
    000.00
    0 0 0
    10-2 ST ANDREWS CIRCLE
    WALLINGFORD,CT06492
    JAMES MELOUGH DIRECTOR
    1.00
    1,000 0 0
    25548 AREQUIPPA DRIVE
    PUNTA GORDA,FL33983
    ALAN MOJOINNIER PRESIDENT
    5.00
    8,500 0 0
    13 BOTANY COURT
    ASHEVILLE,NC28805
    HANRY SANCHEZ DIRECTOR
    1.00
    1,000 0 0
    76-15 58TH RD
    MIDDLE VILLAGE,NY11379
    TIMOTHY VANWYCK TREASURER
    5.00
    8,500 0 0
    12 HAYES AVE
    ELLINGTON,CT06029
    RICHARD YESKOO DIRECTOR
    1.00
    1,000 0 0
    950 WILLOW VALLEY LAKES DR APT H109
    WILLOW STREET,PA17584
    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  
    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.............bullet  
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    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
    3,312,843
    b
    Average of monthly cash balances.......................
    1b
    307,583
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,620,426
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    3,620,426
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    54,306
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    3,566,120
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    178,306
    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
    178,306
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    1,598
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,598
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    176,708
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    176,708
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    176,708
    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 7 176,708
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 166,900
    b From 2017...... 34,031
    c From 2018...... 65,360
    d From 2019...... 69,919
    e From 2020...... 34,070
    f Total of lines 3a through e ........ 370,280
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 338,050
    a Applied to 2020, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2021 distributable amount..... 176,708
    e Remaining amount distributed out of corpus 161,342
    5 Excess distributions carryover applied to 2021.    
    (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 5 531,622
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    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) .......
     
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    166,900
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    364,722
    10 Analysis of line 9:
    a Excess from 2017.... 34,031
    b Excess from 2018.... 65,360
    c Excess from 2019.... 69,919
    d Excess from 2020.... 34,070
    e Excess from 2021.... 161,342
    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 e-mail address of the person to whom applications should be addressed:
    ALAN MOJOINNIER
    P O BOX 19255
    ASHEVILLE,NC288151255
    (828) 277-1121
    MAIL@RIXSONFOUND.ORG
    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
    AFRICA INLAND MISSION
    600 WESTPARK DR
    PEACHTREE CITY,GA30269
        MISSION WORK IN AFRICA 500
    ALETHEIA SPRINGS CENTER
    731 PEMELLO RD
    FERRUM,VA24088
        RELIGIOUS CAMP 500
    BAIR LAKE BIBLE CAMP
    12500 PRANG STREET
    JONES,MI490619739
        RELIGIOUS CAMP 500
    BEELIEVERS STEWRADSHIP MINISTRIES
    2250 CHANEY ROAD
    DUBUQUE,IA52001
        SCHOOL 1,000
    BETHEL BIBLE CAMP
    PO BOX 71
    WOOLWINE,VA241850071
        RELIGIOUS CAMP 500
    BETHEL GOSPEL CHAPEL
    3124 SUMMIT AVE
    UNION CITY,NJ07081
        CHAPEL PRISON WORK 500
    BIBLICAL COUNSELING MINISTRY
    3335 MEIJER DR 100
    TOLEDO,OH43617
        COUNSELING MINISTRY 500
    BIBLICAL ELDERSHIP RECOURSES
    27 WATCHMAN COURT
    ROCHESTER,NY146244930
        DONATION 1,000
    BRAILLE CIRCULATING LIBRARY
    2700 STUART AVE
    RICHMOND,VA232203305
        DONATION 500
    BRIGHT HOPE INT'L
    2060 STONINGTON AVENUE
    HOFFMAN ESTATES,IL60192
        DONATION 1,000
    CALVARY CHURCH
    511 W HASTINGS RD
    SPOKANE,WA99218
        CAMP CARPE DIEM, ST PETERSBURG RUSSI 500
    CAMP AUSH-BIK-KOONG
    260 SUGAR LAKE ROAD
    WALFORD,ONTARIO  
    CA
        RELIGIOUS CAMP 500
    CAMP BEREA
    68 BEREA ROAD
    HEBRON,NH03241
        RELIGIOUS CAMP 500
    CAMP BROCHET
    66 CHEMIN 3 DU LAC BROCHE
    QUEBEC CITY,QUEBEC  
    CA
        RELIGIOUS CAMP 500
    CAMP ELIM
    9602 5567 PAINTED ROCKS
    WOODLAND PARK,CO808639602
        RELIGIOUS CAMP 500
    CAMP GOOD NEWS
    110 MARANTHA ROAD
    FAIRVIEW,NC28730
        RELIGIOUS CAMP 500
    CAMP HOPE
    C/O BOB HADDON
    157 NORMANDY DRIVE
    MARIETTA,GA30064
        RELIGIOUS CAMP 500
    CAMP HORIZON
    7369 SUNNYSIDE DRIVE
    LEESBURG,FL347489541
        RELIGIOUS CAMP 500
    CAMP IMADENE
    BOX 374
    9175 SOUTH SHORE ROAD
    MESACHIE LAKE,BRITISH COLUMBIA  
    CA
        RELIGIOUS CAMP 500
    CAMP JOLI-B
    1555 CHEMIN JOLI-B
    CP B-1
    ROLLET,QUEBEC  
    CA
        RELIGIOUS CAMP 500
    CAMP LI-LO-LI
    8811 SUNFISH RUN ROAD
    RANDOLPH,NY147729795
        RELIGIOUS CAMP 500
    CAMP LIVING WATER
    1510 WEST DEEP CREEK RD
    BRYSON CITY,NC28713
        RELIGIOUS CAMP 500
    CAMP MINI YO WE
    1878 MUSKOKA ROAD 10 WEST
    PORT SIDNEY,ONTARIO  
    CA
        RELIGIOUS CAMP 500
    CAMP SUNRISE
    1427 STATE MINE ROAD SE
    FAIRMONT,GA301392835
        RELIGIOUS CAMP 500
    CAMPAMENTO CAMINO VERDAD & VIDA
    PO BOX 1138
    ADJUNTAS,PR006011138
        LUIS RESTO SUPPORT 500
    CAMPUS CRUSADE FOR CHRIST
    100 LAKE HART DR
    ORLANDO,FL32832
        MISSIONARIES 3,000
    CHRISTIAN MISSION FOR THE DEAF
    PO BOX 28005
    DETROIT,MI482280005
        DONATION 1,000
    CHRISTIAN MISSION FOR THE UN COMM
    PO BOX 130606
    CARLSBAD,CA92013
        DONATION 500
    CHRISTIAN MISSIONS IN MANY LANDS
    PO BOX 13
    SPRING LAKE,NJ07762
        MISSIONS, MINISTRIES, OFFICE, ETC 225,250
    CHRISTIAN WORKERS FELLOWSHIP FUND
    PO BOX 12347
    KANSAS CITY,KS66112
        DAVID AND RACHEL VAN DUZER 1,750
    CIRCLE Y RANCH BIBLE CAMP
    65361 34TH AVE
    BANGOR,MI49013
        RELIGIOUS CAMP 500
    CONESTOGA BIBLE CAMP
    6791 LESLIE LANE
    MOOREFIELD,ONTARIO  
    CA
        RELIGIOUS CAMP 500
    CORNERSTONE MAGAZINE
    PO BOX 690096
    CHARLOTTE,NC28227
        CONTRIBUTION 500
    CROSSWORLD
    10000 N OAK TRAFFICWAY
    KANSAS CIRY,MO64155
        MINSTRY SUPPORT 750
    CROWSNEST LAKE BIBLE CAMP
    CROWSNEST PASS
    COLEMAN,ALBERTA  
    CA
        RELIGIOUS CAMP 500
    DAYSPRING BIBLE CAMP
    PO BOX 4
    IRONTON,MO63650
        RELIGIOUS CAMP 500
    DAYSTAR UNIVERSITY
    5701 NORMANDALE RD 323
    EDINA,MN554242400
        EDUCATION 1,000
    DIME
    1353 IMPERIAL AVE
    CUPERTINO,CA95014
        DONATION 1,000
    EAGLE FERN CAMP
    37700 SE CAMP ROAD
    ESTACADA,OR970239744
        RELIGIOUS CAMP 500
    ECS MINISTRIES
    PO BOX 1028
    DUBUQUE,IA520041028
        PRISON MINISTRY 2,000
    EMMAUS BIBLE COLLEGE
    2570 ASBURY RD
    DUBUQUE,IA520013044
        EDUCATION 2,000
    EVERGREEN GOSPEL CHAPEL
    145 EVERGREEN AVE
    BROOKLYN,NY11221
        RELIEF FUND, CAMP BOCA CHICA, BUS 4,000
    EVERYDAY PUBLICATIONS
    31- KILLALY ST W
    PORT COLBORNE,ONTARIO  
    CA
        DONATION 1,000
    FAIR HAVEN BIBLE CAMP
    4 RUE BEACH
    NEW CARLISLE,QUEBEC  
    CA
        RELIGIOUS CAMP 500
    FAITH BIBLE CAMP
    760 CHARLESWOOD ROAD
    WINNIPEG,MANITOBA  
    CA
        RELIGIOUS CAMP 500
    GALILEE BIBLE CAMP
    203 CAMP GALILEE LANE
    HALEY STATION,ONTARIO  
    CA
        RELIGIOUS CAMP 500
    GOOD WORD PARTNERSHIP
    PO BOX 24104
    MINNEAPOLIS,MN55424
        MISSION 500
    GOSPEL MISSIONS OF INDIA
    PO BOX 1043
    WARREN,MI48090
        MISSION 1,000
    GRAPHITE BIBLE CAMP
    702 GRAPHITE ROAD
    MAYNOOTH,ONTARIO  
    CA
        RELIGIOUS CAMP 500
    GREENWOOD HILLS BIBLE CONFERENCE
    7062 LINCOLN WAY EAST
    FAYETTEVILLE,PA172229567
        RELIGIOUS CAMP 500
    GROWING CHRISTIAN MINISTRIES
    PO BOX 2267
    WESTERLY,RI02891
        DEVOTIONS 1,000
    GUELPH BIBLE CONFERENCE GROUNDS
    485 WATERLOO AVE
    GUELLPH,ONTARIO  
    CA
        RELIGIOUS CAMP 500
    HICKORY COVE BIBLE CAMP
    170 FERGUSON LANE
    TAYLORSVILLE,NC28681
        RELIGIOUS CAMP 500
    HIS MANSION
    PO BOX 40
    HILLSBORO,NH032440040
        DONATION 1,000
    HOPE VALLEY DAY CAMP
    2882 LAKEFIELD ROAD
    PETERBOROUGH,ONTARIO  
    CA
        RELIGIOUS CAMP 500
    HORTON HAVEN CHRISTIAN CAMP
    PO BOX 276
    CHAPEL HILL,TN37034
        RELIGIOUS CAMP 500
    IMMANUEL MISSION
    2000 S 351 RD
    TEEC NOS POS,AZ86514
        MISSIONARIES 500
    INTERNATIONAL TEAMS
    411 W RIVER RD
    ELGIN,IL601231570
        DONATION 500
    IOWA BIBLE CAMP
    1301 ROOSEVELT DRIVE
    ATLANTIC,IA50022
        RELIGIOUS CAMP 500
    JOY BIBLE CAMP
    39 JOY BIBLE CAMP LN A
    BANCROFT,ONTARIO  
    CA
        RELIGIOUS CAMP 500
    KANSAS BIBLE CAMP
    4508 W 56TH
    HUTCHINSON,KS675029349
        RELIGIOUS CAMP 500
    KIDS ALIVE INT'L
    2507 CUMBERLAND DR
    VALPARISO,IN463832503
        BILL HANSEN SUPPORT, GRANT 1,750
    KIDS CLUB INC
    1407 MELVILLE AVE
    FAIRFIELD,CT06825
        DONATION 1,500
    KOINONIA CONFERENCE GROUNDS
    1605 EUREKA CANYON ROAD
    WATSONVILLE,CA950760187
        RELIGIOUOS CAMP 500
    KORONIS BIBLE CAMP
    4655 TERRACE VIEW LANE
    PLYMOUTH,MN554462138
        RELIGIOUS CAMP 500
    LAKE GENEVA YOUTH CAMP
    W 2655 SOUTH STREET
    LAKE GENEVA,WI531472340
        RELIGIOUS CAMP 500
    LAKESIDE BIBLE CAMP
    4170 BIBLE CAMP ROAD
    CLINTON,WA98236
        RELIGIOUS CAMP 500
    LANCASTER BIBLE COLLEGE
    901 EDEN RD
    LANCASTER,PA17601
        CHRISTIAN EDUCATION 500
    LEADERSHIP FOUNDATION
    PO BOX 1782
    COLORADO SPRINGS,CO80901
        EDUCATION 500
    LIFE KEYS PRISON MINISTRIES
    251 HORNING ROAD
    BETHEL PARK,PA151023043
        PRISON MINISTRY 1,000
    LIVING WATERS BIBLE CAMP
    E 8932 REO AVE
    WESTBY,WI54667
        RELIGIOUS CAMP 500
    MEADOWLODGE BIBLE CAMP
    51511 RANGE ROAD 215
    SHERWOOD PASS,ALBERTA  
    CA
        RELIGIOUS CAMP 500
    MINISTRY TO STATE
    2908 18TH ST NW
    WASHINGTON,DC20009
        DONATION 500
    MISSIONARY FLIGHTS INTERNATIONAL
    3170 AIRMANS DR
    FT PIERCE,FL34946
        MISSION 500
    MOUNTAIN TOP YOUTH CAMP
    1460 MACKAY LANE
    PINNACLE,NC27043
        RELIGIOUS CAMP 500
    NORTH STAR BIBLE CAMP
    PO BOX 4
    WILLOW,AK996880004
        RELIGIOUS CAMP 500
    NORTHLAND BIBLE CAMP
    36 MASCIOLI BL
    ONTARIO,ONTARIO  
    CA
        RELIGIOUS CAMP 500
    OPERATION MOBILIZATION
    PO BOX 444
    TYRONE,GA302900444
        DONATION 500
    ORPHANS & VULNERABLE CHILDREN
    2060 STONINGTON ACE
    HOFFMAN,IL60195
        DONATION 1,000
    OUTPOST MISSION
    11922 SE COUNTY RD 763
    ARCADIA,FL34266
        DONATION 500
    PARK OF THE PALMS
    706 PALMS CIRCLE
    KEYSTONE HEIGHTS,FL32656
        DONATION 500
    PINE BUSH BIBLE CAMP
    PO BOX 764
    NEW PROVIDENCE,NJ079740764
        RELIGIOUS CAMP 500
    PINE BUSH BIBLE CAMP
    PO BOX 764
    NEW PROVIDENCE,NJ079740764
        1ST SESSION SUPPORT FOR INNER CITY 1,000
    PITTSBORO CHRISTIAN VILLAGE
    1825 EAST ST
    PITTSBORO,NC273120518
        SEWER REPAIRS, EDUCATION 5,500
    PRETTY VALLEY BIBLE CAMP
    PO BOX 1088
    SWAN RIVER,MANITOBA  
    CA
        RELIGIOUS CAMP 500
    RIPE FOR HARVEST
    PO BOX 487
    MONUMENT,CO80132
        MISSIONARIES 1,000
    RUSTY WRIGHT COMMUNICATIONS
    200 SAINT FRANCIS DR
    BOULDER CREEK,CA95006
        GRANT 1,000
    SANDY CREEK BIBLE CAMP
    ROUTE 1 BOX 803
    WASHINGTON,TX778809716
        RELIGIOUS CAMP 500
    SHILOH BIBLE CAMP
    2812 N RIVER ROAD
    COSMOPOLIS,WA985379600
        RELIGIOUS CAMP 500
    SIM-CITY MINISTRIES - NIGERIA
    PO BOX 7900
    CHARLOTTE,NC28241
        CHRISTIAN EDUCATION 500
    SOUTHWEST BIBLE CAMP
    PO BOX 265
    GLENWOOD,NM880390265
        RELIGIOUS CAMP 500
    SPRINGFIELD RESCUE MISSION
    19 BLISS ST
    SPRINGFIELD,MA01105
        DONATION 1,000
    STORY BROOK LODGE
    5079 VERMILLION TRAIL
    GILBERT,MN557418377
        RELIGIOUS CAMP 500
    THE JESUS FILM PROJECT
    PO BOX 328222
    ORLANDO,FL328628222
        DONATION 500
    TURKEY HILL RANCH BIBLE CAMP
    13489 MARIES ROAD 301
    VIENNA,MO655820000
        RELIGIOUS CAMP 500
    UPPER PENINSULA BIBLE CAMP
    PO BOX 338
    LITTLE LAKE,MI498330338
        RELIGIOUS CAMP 500
    VERDUGO PINES BIBLE CAMP
    PO BOX 1989
    WRIGHTWOOD,CA923971989
        RELIGIOUS CAMP 500
    VICTORY MINISTRIES
    770 N LASALLE SUITE 300
    CHICAGO,IL60654
        CAMP 500
    VOICE OF CHRIST MEDIA
    PO BOX 7146
    BEAVERTON,OR97007
        MINISTRY IN FARSI TO IRANIANS 500
    WHEATON ACADEMY
    900 PRINCE CROSSING ROAD
    WEST CHICAGO,IL60185
        EDUCATION 500
    WILDWOOD BIBLE CAMP
    178 STELLICK AVE
    NEWMARKET,ONTARIO  
    CA
        RELIGIOUS CAMP 500
    WILLOWBROOK BIBLE CAMP
    4375 NE 38TH ST
    DES MOINES,IA503178915
        RELIGIOUS CAMP 500
    WYCLIFFE BIBLE TRANSLATORS
    PO BOX 628200
    ORLANDO,FL328628200
        BIBLE TRANSLATION 1,500
    ASSEMBLY CARE MINISTRIES
    500 WESTOVER DR 13250
    SANFORD,NC27330
        GRANT 1,000
    ADAMS AGNES
    30 EXECUTIVE DR
    STOUFFVILLE,ONTARIO  
    CA
        REFOCUSING MINISTRY 400
    AFRICA OUTREACH - ARNIE MAYER
    BOX 1500
    SILOAM SPRINGS,AR72761
        EDUCATION 750
    ALLISON MR MRS DAVID
    2570 ASBURY ROAD
    DUBUQUE,IA520013044
        NORTH AMERICAN MISSIONS 750
    AMOS MRS RANDY
    PO BOX 331
    HENRIETTA,NY14467
        EDUCATION 750
    BARKAT DR SAMUEL
    1812 BLOSSOM COURT
    YORKTOWN HEIGHTS,NY10598
        EDUCATION 500
    BELL MRS JOHN
    251 HORNING ROAD
    BETHEL PARK,PA151023043
        NORTH AMERICAN MISSIONS 500
    BERRY MR MRS HOWARD
    2801 NE 195TH ST
    LAKE FOREST PARK,WA981551471
        EDUCATION 750
    BILLINGS MR MRS ROBERT
    18 GEORGE STREET
    RED BANK,NJ07701
        NORTH AMERICAN MISSIONS 750
    BROOKS ELAINE
    216 WILLEY PARKWAY
    KEYSTONE HEIGHTS,FL326569198
        REFOCUSING MINISTRY 750
    BROWER JONATHAN ELIZABETH
    1065 STONEY MILL ROAD
    DANVILLE,VA24540
        NORTH AMERICAN MISSIONS 750
    CASE DONOVAN
    PO BOX 114
    WENTZVILLE,MO63385
        NORTH AMERICAN MISSIONS 750
    CATRON LILLIAN
    1816 GLENWOOD COURT
    DUBUQUE,IA520022648
        NORTH AMERICAN MISSIONS 500
    CHASSARD ELAINE
    6043 LOWER MACUNGIE RD
    MACUNGIE,PA18062
        REFOSUING MINISTRY 500
    CRABB MR AND MRS DOUGLAS
    20980 TAOS ROAD
    APPLE VALLEY,CA92307
        NORTH AMERICAN MISSIONS 750
    DEGROFF SCOTT LYNN
    PO BOX 1570
    FREEDOM,CA95019
        EDUCATION 750
    DEMATTEO MR MRS GERARD
    102 E VAN NESS AVE
    RUTHERFORD,NJ070701834
        NORTH AMERICAN MISSIONS 750
    DUNHAM MR MRS WARREN
    2655 W SOUTH ST
    PITTSBORO,IN46167
        NORTH AMERICAN MISSIONS 750
    DUNKERTON JAMES CAROLYN
    1865 HORIZON COURT
    DUBUQUE,IA520014033
        NORTH AMERICAN MISSIONS 750
    DYER DR MRS KEVIN
    810 WILLOW HILLS LANE
    PROSPECT HEIGHTS,IL600702581
        NORTH AMERICAN MISSIONS 1,750
    DYER MR MRS CRAIG DYER
    1585 LABURNUM ROAD
    HOFFMAN ESTATES,IL60195
        NORTH AMERICAN MISSIONS 750
    FARBER MR MRS GEORGE
    710 BURBANK AVE
    WATERLOO,IA50702
        NORTH AMERICAN MISSIONS 750
    FISH MR MRS JACK
    2570 ASBURY RD
    DUBUQUE,IA520013044
        NORTH AMERICAN MISSIONS 750
    FIZER MR MRS CHARLES
    2785 SUN VALLEY DR
    ASBURY,IA520022465
        NORTH AMERICAN MISSIONS 750
    FLEMING MR MRS KENNETH
    3140 ST ANNE DR
    DUBUQUE,IA52001
        NORTH AMERICAN MISSIONS 750
    GARMAN GREGG
    2938 KINSMAN COURT
    BENSALEM,PA19020
        NORTH AMERICAN MISSIONS 500
    GIANNITTI CHUCK
    27 WATCHMAN COURT
    BENSALEM,PA19020
        BIBLICAL ELDERSHIP RESOURCES 750
    GLOCK MELVINA
    11224 LAKEVIEW DRIVE
    DUBUQUE,IA520039211
        NORTH AMERICAN MISSIONS 750
    GONZALEZ MARIANO
    617 E EMERSON AVENUE
    LOMBARD,IL601480371
        NORTH AMERICAN MISSIONS 750
    GORING JANET
    14114 W 87TH TERRACE
    LENEXA,KS66215
        GRANTS - REFOCUSED 900
    HALLQUIST MR MRS ERIC
    4911 N KAY ST
    PALM BUSCH GARDENS,FL334186167
        EDUCATION 750
    HARRIS CARMEN
    57 GAMEWELL LANE
    WILLINGBORO,NJ080463007
        NORTH AMERICAN MISSIONS 500
    LEBLANC JR MRS J WADE
    PO BOX 1116
    CALAIS,ME046196116
        EDUCATION 750
    LEVERENTZ MR MRS PHILIP
    11182 HIGH RIDGE ROAD
    DUBUQUE,IA52003
        NORTH AMERICAN MISSIONS 750
    MACLEOD MR MRS DAVID
    1851 ASBURY ROAD
    DUBUQUE,IA520014114
        NORTH AMERICAN MISSIONS 750
    MCNICOL MR MRS BRUCE
    1600 E NORTHERN SUITE 280
    PHOENIX,AZ85020
        NORTH AMERICAN MISSIONS 750
    OXENDINE MR MRS CHARLES
    10440 DEEP BRANCH RD
    PEMBROKE,NC28372
        NORTH AMERICAN MISSIONS 750
    PRICE MR MRS LARRY R
    32742 WINDY OAK STREET
    SORRENTO,FL32776
        NORTH AMERICAN MISSIONS 750
    RAMEY MR MRS STEVE
    3400 NW 58TH TERRACE
    KANSAS CITY,MO641512861
        EDUCATION 750
    RIDGEWAY STEVE
    PO BOX 158
    PUYALLUP,WA98373
        EDUCATION 500
    SCHEID MR MRS ROBERT
    4512 LEGEND HOLLOW LANE
    POWDER SPRINGS,GA301275359
        NORTH AMERICAN MISSIONS 750
    SCHROEDER MR MRS CHRIS
    PO BOX 366
    ARMADA,MI48005
        NORTH AMERICAN MISSIONS 750
    SMITH SHIRLEY
    PO BOX 392
    PATTERSON,NJ07501
        EDUCATION 500
    SPENDER JR MRS JACK
    112 DOOLITTLE DRIVE
    BETHANY,CT065243156
        NORTH AMERICAN MISSIONS 750
    SPICER WILENE
    90 HILTON BLVD
    EGGERTSVILLE,NY142261415
        REFOCUSING MINISTRY 750
    STEELE JR MR MRS TOMMY
    10530 COKESBURY LANE
    RALEIGH,NC27614
        NORTH AMERICAN MISSIONS 750
    VAN DUZER JIM RUTH
    5171 OAKLAND AVENUE
    SLATINGTON,PA18080
        NORTH AMERICAN MISSIONS 750
    YARRALL MR MRS RICHARD
    3455 N BELLFLOWER BLVD
    LONG BEACH,CA908082630
        NORTH AMERICAN MISSIONS 750
    Total .................................bullet 3a 338,050
    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 85  
    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 ............
        1 108,249  
    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) ..   141,680  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    141,680
    (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
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    THE OSCAR C RIXSON FOUNDATION INC
     
    Employer identification number

    13-6129767
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    THE OSCAR C RIXSON FOUNDATION INC
     
    Employer identification number
    13-6129767
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    BANK OF AMERICA NA TRUST UWO
    UNKNOWN
     
    DALLAS, TX75283

    $ 92,872


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    THE OSCAR C RIXSON FOUNDATION INC
     
    Employer identification number

    13-6129767
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    THE OSCAR C RIXSON FOUNDATION INC
     
    Employer identification number

    13-6129767
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    THE OSCAR C RIXSON FOUNDATION INC
    EIN:
    13-6129767
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT ACCOUNTING FEES 3,500 1,750    

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    THE OSCAR C RIXSON FOUNDATION INC
    EIN:
    13-6129767
    Name of Bond End of Year Book Value End of Year Fair Market Value
      936,289 937,469

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE OSCAR C RIXSON FOUNDATION INC
    EIN:
    13-6129767
    Name of Stock End of Year Book Value End of Year Fair Market Value
      1,297,246 2,535,499

    TY 2021 OtherExpensesSchedule
    Name:
    THE OSCAR C RIXSON FOUNDATION INC
    EIN:
    13-6129767
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    POSTAGE AND PO BOX 260 130    
    COMPUTER SUPPLIES/REPAIRS 77 38    
    DIRECTOR'S LIABILITY INSURANC 1,687 843    
    OFFICE SUPPLIES 318 159    


    TY 2021 OtherIncreasesSchedule
    Name:
    THE OSCAR C RIXSON FOUNDATION INC
    EIN:
    13-6129767
    Description Amount
    RETURNED GRANTS 2,734
    ADJ FROM PRIOR YEAR 8,469


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE OSCAR C RIXSON FOUNDATION INC
    EIN:
    13-6129767
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 14,574 14,574    


    TY 2021 TaxesSchedule
    Name:
    THE OSCAR C RIXSON FOUNDATION INC
    EIN:
    13-6129767
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    NY REGISTRATION FEES 250      
    EXCISE TAX 1,598      
    FOREIGN TAXES PAID 17