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
Bergen Family Foundation
 
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)Foundation Source 501 Silverside Rd
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington, DE198091377
A Employer identification number

85-3247651
B Telephone number (see instructions)

(800) 839-1754
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$7,174,924J 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) 0
2 Check bullet.............
3 Interest on savings and temporary cash investments 144 144  
4 Dividends and interest from securities... 88,423 88,423  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -35,331
b Gross sales price for all assets on line 6a 5,676,553
7 Capital gain net income (from Part IV, line 2)... 4,169,719
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 53,236 4,258,286  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 27,450 27,450    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 58,873 173    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 20,482 198   20,284
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 106,805 27,821   20,284
25 Contributions, gifts, grants paid....... 18,600 18,600
26 Total expenses and disbursements. Add lines 24 and 25 125,405 27,821   38,884
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -72,169
b Net investment income (if negative, enter -0-) 4,230,465
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 4,503 131,073 131,073
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)   Click to see attachment420,709 412,149
b Investments—corporate stock (attach schedule)....... 6,221,325 Click to see attachment5,370,048 6,173,698
c Investments—corporate bonds (attach schedule).......   Click to see attachment465,876 458,004
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) 6,225,828 6,387,706 7,174,924
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)   Click to see attachment234,047
23 Total liabilities (add lines 17 through 22)......... 0 234,047
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........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 6,225,828 6,153,659
29 Total net assets or fund balances (see instructions)..... 6,225,828 6,153,659
30 Total liabilities and net assets/fund balances (see instructions). 6,225,828 6,387,706
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
6,225,828
2
Enter amount from Part I, line 27a .....................
2
-72,169
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
6,153,659
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
6,153,659
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 Publicly-traded Securities      
b
c
d
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 5,676,553   1,506,834 4,169,719
b
c
d
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       4,169,719
b
c
d
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 4,169,719
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  
3 Add lines 1 and 2........................... 3 58,803
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 58,803
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 58,700
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 200
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 58,900
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 97
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet97 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
    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)
    bulletDE
    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 ofbulletFoundation Source Telephone no.bullet (800) 839-1754

    Located atbullet501 Silverside Road Suite 123WilmingtonDE ZIP+4bullet198091377
    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
    Lara Rice Bergen Dir, Sec, VP
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Stuart Bergen Dir, Pres, Treas
    1.0     		0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
     
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................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
    6,408,017
    b
    Average of monthly cash balances.......................
    1b
    194,490
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,602,507
    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
    0
    3
    Subtract line 2 from line 1d.........................
    3
    6,602,507
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    99,038
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    6,503,469
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    325,173
    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
    325,173
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    58,803
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    58,803
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    266,370
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    266,370
    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
    266,370
    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 7 266,370
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 14,343
    b Total for prior years:2019, 2018, 2017  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........  
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 38,884
    a Applied to 2020, but not more than line 2a 14,343
    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..... 24,541
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........     		241,829
    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) ...     		 
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021.... 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    Lara Rice Bergen
    Stuart Bergen
    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
    AUSTIN DISASTER RELIEF NETWORK
    1122 E 51ST ST
    AUSTIN,TX78723     		N/A PC General & Unrestricted 500
    FEEDING TEXAS
    1524 SOUTH IH 35 STE 342
    AUSTIN,TX78704     		N/A PC General & Unrestricted 1,000
    LITTLE KIDS ROCK INC
    PO BOX 43369
    MONTCLAIR,NJ07043     		N/A PC General & Unrestricted 3,000
    NOVA HOPE FOR HAITI INC
    176 PALISADE AVE
    EMERSON,NJ07630     		N/A PC Earthquake relief fund 2021 2,500
    TRUSTEES OF PHILLIPS ACADEMY
    180 MAIN ST
    ANDOVER,MA01810     		N/A PC General & Unrestricted 1,000
    WEST SIDE CENTER FOR COMMUNITY LIFE INC
    263 W 86TH ST
    NEW YORK,NY10024     		N/A PC Charitable Event 8,100
    YOUTH REPRESENT INC
    11 PARK PLACE STE 1512
    NEW YORK,NY10007     		N/A PC General & Unrestricted 2,500
    Total .................................bullet 3a 18,600
    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 ...........     		    14 144  
    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 -35,331  
    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) ..   53,236  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    53,236
    (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

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

    TY 2021 DepreciationSchedule
    Name:
    Bergen Family Foundation
    EIN:
    85-3247651
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    Bergen Family Foundation
    EIN:
    85-3247651
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ALLSTATE CORP - 0.750% - 12/15 25,734 25,348
    AMERISOURCEBERGEN CORP NT - 2. 13,224 13,149
    AMGEN INC - 2.200% - 02/21/202 14,542 14,339
    BANK AMER CORP MEDIUM - 3.974% 13,592 13,230
    BANK NOVA SCOTIA B CNOTE 1.300 13,134 12,930
    BANK OF MONTREAL - 2.900% - 03 25,625 25,156
    BOEING CO NOTE CALL - 2.800% - 14,549 14,387
    BROADCOM CORP/BROADCOM CAYMAN 13,052 13,019
    BUNGE LTD FINANCE CORP SR NT C 15,251 14,775
    CITIGROUP INC SR NT - 1.255% - 25,407 25,250
    CONSTELLATION BRANDS INC - 2.2 14,897 14,678
    DISCOVER FINL - 2.850% - 11/21 12,815 12,316
    ENTERGY LA LLC BOND - 0.950% - 14,978 14,838
    GENERAL MOTORS CO - 5.000% - 1 13,807 13,771
    HP INC NOTE - 3.000% - 06/17/2 15,163 14,732
    HSBC HLDGS PLC NT - 0.976% - 0 15,038 14,822
    JPMORGAN CHASE &CO - 3.782% - 11,247 10,832
    L3HARRIS TECHNOLOGIES INC - 4. 11,522 11,233
    LENNAR - 5.875% - 11/15/2024 27,932 27,524
    MITSUBISHI - 3.741% - 03/07/20 11,346 10,934
    NUCOR CORP - 2.700% - 06/01/20 14,499 14,445
    NVIDIA CORP NT - 1.550% - 06/1 24,932 24,821
    PIMCO RAE PLUS FUND - 2.930% - 25,441 25,224
    PIONEER NAT RES CO NOTE CALL M 12,809 12,632
    SHELL INTERNATIONAL FIN BV NOT 12,600 12,301
    SIMON PPTY GROUP - 2.450% - 09 13,239 13,101
    SOUTHERN CALIF EDISON CO - 3.5 12,768 12,443
    SOUTHWEST AIRLS CO NT - 2.625% 13,303 12,994
    STIFEL FINL CORP - 4.250% - 07 13,430 12,780

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    Bergen Family Foundation
    EIN:
    85-3247651
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LABS 4,754 5,207
    ABBVIE INC 6,208 7,582
    ACCENTURE PLC 8,502 13,680
    ACUITY BRANDS INC 2,260 2,541
    ADOBE SYSTEMS, INC 7,015 7,939
    ADTALEM GLOBAL EDUCATION INC 1,442 1,035
    AGILENT TECHNOLOGIES INC 919 1,118
    AIA GROUP LTD ADR 6,434 4,758
    AIR PRODS & CHEM INC 1,311 1,521
    AKZO NOBEL NV-ADR 6,139 6,466
    ALCON INC 5,226 6,098
    ALEXANDRIA REAL ESTATE EQUITIE 2,784 3,567
    ALPHABET INC CL A 20,964 28,970
    AMAZON COM 26,080 26,675
    AMCOR LTD ORD SHS 4,667 4,756
    AMEDISYS INC - COMMON STOCK 1,440 809
    AMKOR TECHNOLOGY, INC 4,768 4,859
    AMPHASTAR PHARMACEUTICALS INC 382 466
    ANSYS INC 4,474 4,412
    AON PLC CL A 1,124 1,503
    APPLE HOSPITALITY REIT INC 2,445 2,746
    APPLE INC 40,102 52,560
    APPLIED IDNS TECH 1,600 2,054
    ARCH CAPITAL GROUP LTD 1,765 2,223
    ARES MANAGEMENT CORPORATION 590 894
    ARISTA NETWORKS 4,550 8,050
    ASHTEAD GROUP PLC 6,683 9,863
    ASSA ABLOY UNSP/ADR 5,556 6,352
    ATKORE INTERNATIONAL GROUP INC 2,262 3,113
    AUTODESK, INC 6,740 6,186
    AUTOMATIC DATA PROCESSING INC 6,324 9,370
    AVALONBAY CMNTYS INC 4,947 5,557
    AVIENT 935 1,175
    AVNET INC 1,253 1,319
    BANK OF AMERICA CORP 16,764 21,578
    BANK OF HAWAII CORP 2,918 2,764
    BERKSHIRE HATHAWAY INC. CLASS 4,395 5,382
    BLACK KNIGHT, INC 5,758 5,554
    BLOCK INC 1,659 969
    BOSTON PPTYS INC 15,026 18,314
    BRIGHT HORIZONS FAMILY SOLUTIO 1,407 1,007
    BROADCOM INC 18,199 24,620
    BROOKFIELD ASSET MANAGEMENT CL 16,615 23,186
    BROOKFIELD INFRASTRUCTURE ORD 4,532 5,051
    BROOKFIELD RENEWABLE CORP CL A 1,674 1,326
    BROWN & BROWN INC 2,593 4,076
    BROWN FORMAN CORP CL B 849 801
    BRUKER CORPORATION 4,975 6,629
    BUILDERS FIRST SOURCE INC 3,341 6,514
    CADENCE BANCORPORATION 2,397 2,264
    CAMECO CORPORATION 3,221 4,253
    CARMAX INC 7,667 7,944
    CARNIVAL CORP 1,903 1,811
    CARRIER GLOBAL 3,371 4,882
    CBRE GROUP 2,861 4,340
    CHEMED CORP 1,928 2,116
    CHEVRON CORP 10,291 11,852
    CHIPOTLE MEX GRILL 4,355 5,245
    CHUBB LIMITED 10,099 11,792
    CINTAS CRP 4,165 5,318
    CIRRUS LOGIC INC 768 828
    CISCO SYSTEMS INC 7,773 10,456
    CITIGROUP INC 14,040 13,044
    CITIZENS FINANCIAL GROUP, INC 5,774 6,615
    CITY OFFICE REIT 863 1,676
    CLEAN HARBORS, INC 1,462 1,497
    CLOSE BROTHERS GROUP 25 P ORD 4,931 3,937
    COCA COLA EUROPEAN PARTNERS PL 5,148 5,537
    COGNEX CORPORATION 962 855
    COLFAX CORPORATION 615 690
    COMCAST CORP 7,760 7,348
    COMFORT SYSTEMS USA INC 1,610 2,474
    COMMERCIAL METALS 1,283 2,069
    CONCENTRIX CORP 2,658 4,287
    CONOCOPHILLIPS 6,851 6,641
    CONSENSUS CLOUD SOLUTION 831 1,042
    CONSOLIDATED EDISON INC 4,414 5,375
    CONSTELLATION BRANDS INC 4,844 5,019
    COPART INC 7,019 8,642
    COSTAMARE INC 570 734
    COSTAR GROUP, INC 9,542 8,693
    CRA INTERNATIONAL INC 299 467
    CRANE CO 1,370 1,424
    CREDICORP LTD 6,864 5,005
    CREDIT ACCEPTANCE CORPORATION 1,483 2,751
    CROWN CASTLE INTL 5,491 6,680
    CSG SYST INTL INC. 2,497 2,996
    CUMMINS INC 9,290 8,289
    D R HORTON 4,921 5,965
    DANAHER CORP 10,652 14,147
    DASSAULT SYS SA SPN ADR 7,125 9,250
    DBS GROUP HLDGS SPON ADR 4,731 5,842
    DECKERS OUTDOOR CORPORATION 3,714 4,029
    DELUXE CORPORATION 342 289
    DIODES 955 1,098
    DOLLAR GENERAL CORP 2,458 2,830
    DOMINOS PIZZA INC 3,571 5,079
    DONALDSON CO. INC 1,052 1,067
    DOW INC 4,712 4,538
    DUKE ENERGY CO 4,841 5,665
    EATON CORP PLC 18,567 22,985
    EDWARDS LIFESCIENCES 4,586 6,737
    EMCOR GROUP INC 4,496 6,115
    EMERSON ELECTRIC CO 13,376 14,038
    EQUINIX, INC 4,332 5,075
    ERSTE BK DER OEST SP 3,657 5,330
    ESTEE LAUDER COMPANIES INC 4,963 6,293
    ETSY INC 3,059 3,065
    EVERCORE PARTNERS INC 1,377 1,494
    EVERTEC INC 1,666 1,949
    EXELIXIS, INC. 2,028 1,883
    EXELON CORPORATION 2,112 2,888
    EXLSERVICE HOLDINGS INC 2,106 2,461
    EXPERIAN GROUP LTD S/ADR 5,127 6,903
    EXXON MOBIL CORP 17,056 20,070
    F.N.B CORPORATION 2,806 3,045
    FANUC LIMITED UNSPONSORED 7,304 5,663
    FASTENAL COMPANY 3,123 4,164
    FIDELITY NATIONAL FINANCIAL IN 439 574
    FINANCIAL INSTITUTIONS, INC 310 382
    FINANCIAL SELECT SECTOR SPDR F 82,357 100,397
    FIRST CITIZENS BANCSHARES INC 3,824 4,149
    FIRST COMMONWEALTH FINANCIAL C 924 1,094
    FIRST FINANCIAL CORPORATION 469 498
    FIRST TRUST STRAT H/I FUND 1,817 2,405
    FORMFACTOR INC. 1,618 1,600
    FORTIVE CORPORATION 3,777 4,043
    FTI CONSULTING INC 3,404 4,449
    FULTON FIN CORP 1,740 1,972
    GARTNER INC 1,641 3,009
    GLAXOSMITHKLINE PLC 5,342 6,571
    GLOBUS MEDICAL INC 855 794
    GOLDMAN SACHS GROUP 3,100 3,826
    GRAPHIC PACKAGING CORP COM STK 1,710 2,009
    GRAY TELEVISION INC CL B 2,542 2,318
    GUIDEWIRE SOFTWARE INC 4,922 4,541
    H&R BLOCK INC 2,828 3,393
    HANOVER INS GROUP 3,521 3,932
    HEICO CP CL A 4,581 4,884
    HEINEKEN N V S ADR 5,752 6,221
    HELEN OF TROY LIMITED 1,826 1,956
    HESS CORP 5,099 4,146
    HILLTOP HOLDINGS 2,322 2,249
    HILTON WORLDWIDE HOLDINGS, INC 10,721 13,883
    HOME DEPOT INC 12,465 18,675
    HONEYWELL INTL 13,120 13,345
    HOWARD HUGHES CORPORATION 2,060 2,036
    HUB GROUP, INC 684 1,011
    HYATT HOTELS CORP 1,550 1,918
    IDEXX CORP 7,111 8,560
    ILLINOIS TOOL WORKS 5,312 6,170
    INDUSTRIAL LOGISTICS PROPERTIE 483 526
    ING GROUP N V SPONSORED ADR 6,889 8,937
    INSIGHT ENTERPRISES, INC 696 853
    INTEGER HOLDINGS CORP 2,704 2,824
    INTEGRA LIFESCIENCES HOLDINGS 1,669 1,608
    INTUITIVE SURGICAL 4,050 5,390
    ISHARES CORE MSCI EAFE ETF 90,228 91,060
    ISHARES CORE US VALUE 378,636 432,389
    JABIL CIRCUIT INC 5,984 9,357
    JEFFERIES GROUP INC 1,232 1,474
    JOHNSON & JOHNSON 8,329 8,554
    JOHNSON OUTDOORS INC 252 187
    JP MORGAN CHASE 11,777 12,985
    KB HOME 1,628 1,655
    KDDI CP UNSP ADR 5,491 4,878
    KEMPER CORP 3,889 2,998
    KENNEDY WILSON HOLDINGS INC 676 907
    KFORCE INC 294 451
    KKR & CO INC 6,716 10,281
    KONTOOR BRANDS INC 1,647 1,435
    KUBOTA CORPORATION 6,117 5,698
    LAKELAND BANCORP INC 309 361
    LAKELAND FINANCIAL CORPORATION 428 481
    LANDSTAR SYSTEM 4,463 5,013
    LENNAR CORP 4,184 5,227
    LHC GROUP 1,995 1,510
    LIBERTY BROADBAND CORP LBRDA 1,175 1,287
    LIBERTY BROADBAND CORP LBRDK 5,445 5,800
    LIBERTY MEDIA CORP - SER A 166 237
    LIBERTY MEDIA CORP - SER C 2,043 2,846
    LINDE PLC COM 12,903 17,668
    LITHIA MOTORS INC CL A 4,452 3,860
    LIVE NATION INC COM 4,154 5,865
    LOCKHEED MARTIN CORP 9,499 9,951
    LOUISIANA PACIFIC CP 4,060 5,955
    LUMENTUM HOLDINGS INC 1,278 1,481
    LVMH MOET HENN UNSP 5,467 6,951
    LYONDELLBASELL INDUSTRIES NV 4,362 4,150
    MAGNA INTERNATIONAL INC 6,983 7,042
    MANPOWER GROUP INC 1,068 876
    MANTECH INTERNATIONAL CORP 1,224 1,094
    MARATHON PETROLEUM CORP 4,711 4,991
    MARINEMAX INC 1,286 1,653
    MARKEL CORP 4,443 4,936
    MARTIN MARIETTA MATLS INC 2,658 3,524
    MARUI CO LTD ADR OTC 4,090 3,912
    MASONITE INTERNATIONAL CORPORA 2,089 2,241
    MASTEC INC 2,942 3,138
    MASTERCARD INC 3,096 3,234
    MCDONALD'S CORP 9,218 11,527
    MDU RESOURCES GROUP 2,159 2,313
    MEDPACE HOLDINGS, INC 3,283 4,135
    MEDTRONIC PLC 12,013 10,448
    MERCK & CO INC 16,657 17,397
    MERIDIAN BIOSCIENCE INC 364 367
    MERIT MEDICAL SYSTEMS, INC. 1,053 935
    MERITAGE CORPORATION 2,345 3,296
    META PLATFORMS INC 8,648 10,763
    METTLER-TOLEDO INTL 5,125 6,789
    MICHELIN CIE GEN UNSP/ADR 6,005 6,689
    MICROCHIP TECHNOLOGY INC 4,200 4,527
    MICROSOFT CORP 37,975 52,129
    MONDELEZ INTERNATIONAL INC 3,870 4,642
    MOODYS CORP 1,680 2,343
    MORGAN STANLEY 17,105 20,515
    MSCI INC 2,196 3,063
    MURPHY USA INC 2,208 3,387
    NETFLIX INC 4,893 5,422
    NEXSTAR MEDIA GROUP, INC 2,926 3,020
    NEXTERA ENERGY, INC 8,812 9,896
    NIDEC CORPORATION ADR 8,904 7,378
    NIKE INC-CL B 8,682 9,334
    NOVARTIS AG ADR 4,248 4,024
    NVIDIA CORP 8,229 12,059
    O'REILLY AUTOMOTIVE INC 4,778 7,769
    OASIS PETROLEUM CORP 1,507 1,512
    OFFICE PROPERTIES INCOME TRUST 813 795
    ONE GAS INC 581 621
    OTSUKA HOLDINGS CO 4,210 3,486
    OTTER TAIL CORP 548 928
    PAN PAC INTL HLDGS UNSPONSORED 6,420 4,388
    PARKER HANNIFIN CP 6,692 7,635
    PAYPAL HOLDINGS, INC 11,940 7,355
    PEOPLE'S UNITED FINANCIAL, INC 4,663 5,417
    PEPSICO INC 14,652 18,066
    PERDOCEO EDUCATION 904 788
    PERIMETER SOLUTIONS ORD SHS 924 1,028
    PFIZER INC 6,116 10,393
    PIEDMONT OFFICE REALTY TRUST I 1,587 1,673
    PIONEER NAT RES CO 4,900 6,548
    PNC FINANCIAL GROUP INC 4,415 5,414
    PORTLAND GEN ELEC 1,602 2,011
    PPG INDUSTRIES INC 5,298 6,208
    PRIMERICA, INC 2,424 2,606
    PRIMORIS SERVICES CORP 1,299 959
    PROCTER GAMBLE CO 7,934 10,142
    PROGRESS SOFTWARE CORP 2,004 2,220
    PROGRESSIVE CORP OHIO 5,908 6,980
    PROLOGIS 14,153 22,055
    QUALCOMM INC 5,026 6,766
    QUALTRICS INTERNATIONAL CL A 294 248
    RAYTHEON TECHNOLOGIES CORP 12,966 15,319
    RECKITT BENCKISER GROUP 4,115 4,025
    REGAL REXNORD CORP 2,357 3,063
    RENT A CTR INC 4,328 3,891
    RENTOKIL INITIAL PLC SPON ADR 6,050 6,461
    RMR GROUP 201 173
    ROPER INDUSTRIES 8,984 10,821
    ROSS STORES, INC 1,557 1,486
    RPM INTERNATIONAL INC 4,096 4,747
    SAFRAN SA - UNSPON ADR 5,895 5,445
    SALESFORCE.COM 10,290 10,673
    SANMINA-SCI CORPORATION 2,536 2,985
    SBA COMMUNICATIONS CORP 5,301 7,780
    SCHWAB U.S. SMALL-CA 136,444 137,113
    SCHWAB US MID CAP 132,554 139,867
    SCIENCE APPLICATIONS INTERNATI 1,915 1,672
    SELECT MEDICAL 2,452 2,617
    SELECT SECTOR SPDR INDUSTRIAL 82,249 96,392
    SERVICE NOW 9,236 10,386
    SIGNET GROUP PLC SPONS ADR NAS 1,849 2,089
    SIMPLICITY BANCORP INC 942 1,206
    SLEEP NUMBER 3,890 2,375
    SONY GROUP CORP 10,774 11,755
    SOUTHWEST GAS CP 991 1,121
    SPDR S&P 500 GROWTH 377,771 458,299
    STARBUCKS CORP COM 5,041 5,615
    STEPAN CO 494 497
    STEWART INFORMATION SVCS CORP 1,096 1,595
    STIFEL FINANCIAL CP 5,396 5,845
    STRIDE ORD SHS 472 433
    SUMMIT MATERIALS INC 1,072 1,726
    SVB FINANCIAL GROUP 4,077 5,426
    SYMRISE AG UNSPONSORED 4,922 5,783
    SYNEOS HEALTH INC 1,474 1,746
    SYNNEX CORP 637 801
    SYSCO CORP 3,963 4,085
    T. ROWE PRICE GROUP 6,577 7,866
    TARGET CORPORATION 8,988 10,878
    TELETECH HOLDINGS, INC 1,634 1,449
    TERADYNE INC 6,361 7,195
    TESLA MOTORS INC 2,755 4,227
    TEXAS INSTRUMENTS INC 11,911 12,062
    THE COCA-COLA CO 5,720 6,691
    THERMO FISHER SCIENTIFIC INC 13,260 17,348
    TJX COMPANIES INC 8,347 9,338
    TOPBUILD CORP 1,335 1,655
    TOTAL FINA ELF S.A 4,169 4,699
    TOWNEBANK 218 253
    TRANSDIGM GRP INC 8,684 9,544
    TRANSUNION COM USD0.01 2,759 3,676
    TRINET GROUP, INC 1,364 1,334
    TRISTATE CAPITAL HOLDINGS 310 393
    TYLER TECHNOLOGIES, INC 6,914 8,069
    UNILEVER PLC AMER 4,636 4,465
    UNION PACIFIC 16,257 18,895
    UNITED THERAPEUTICS CORP 4,917 6,050
    UNITEDHEALTH GROUP INC 9,166 14,060
    US BANCORP 7,760 8,763
    VAIL RESORTS INC 3,462 3,935
    VALVOLINE INC 1,253 1,827
    VANGUARD FTSE EMERGING MARKETS 55,231 49,607
    VANGUARD INFORMATION TECHNOLOG 81,864 98,506
    VANGUARD S&P 500 ETF 377,857 443,991
    VERISIGN INC 3,845 4,823
    VERISK ANALYTICS, INC 2,651 3,202
    VIRTU FINANCIAL INC 1,313 1,355
    VISA INC 11,201 11,486
    VULCAN MATERIALS CO 5,146 6,643
    WAL-MART STORES INC 6,567 6,511
    WALT DISNEY HOLDINGS CO 13,666 11,462
    WARNER MUSIC GRP CRP 2,016,274 2,309,050
    WASHINGTON FED INC 2,259 2,504
    WELLS FARGO & CO 4,675 4,846
    WIX COM LTD 6,963 3,945
    WYNDHAM HOTELS & RESORTS INC C 4,457 5,738
    ZEBRA TECHNOLOGIES CORP 4,775 5,952
    ZIFF DAVIS, INC 4,993 5,654
    ZUMIEZ INC 1,239 1,248

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    Bergen Family Foundation
    EIN:
    85-3247651
    US Government Securities - End of Year Book Value:

    420,709
    US Government Securities - End of Year Fair Market Value:

    412,149
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2021 OtherExpensesSchedule
    Name:
    Bergen Family Foundation
    EIN:
    85-3247651
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 20,284     20,284
    Bank Charges 198 198    


    TY 2021 OtherLiabilitiesSchedule
    Name:
    Bergen Family Foundation
    EIN:
    85-3247651
    Description Beginning of Year - Book Value End of Year - Book Value
    OUTSTANDING OPTIONS   234,047


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    Bergen Family Foundation
    EIN:
    85-3247651
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Services 27,450 27,450    


    TY 2021 TaxesSchedule
    Name:
    Bergen Family Foundation
    EIN:
    85-3247651
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF Estimated Tax for 2021 58,700      
    Foreign Tax Paid 173 173