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
HERR BENJAMIN FOR JOHN C ET AL-TR
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 185
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PITTSBURGH, PA152300185
A Employer identification number

38-6897740
B Telephone number (see instructions)

(717) 699-2711
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$16,577,819
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 406,083 405,584  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,556,540
b Gross sales price for all assets on line 6a 3,897,153
7 Capital gain net income (from Part IV, line 2)... 1,556,540
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 37,177 7,921  
12 Total. Add lines 1 through 11........ 1,999,800 1,970,045  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 119,226 71,535   47,690
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 46,514 0 0 46,514
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 20,668 8,858   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 230 230    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 186,638 80,623 0 94,204
25 Contributions, gifts, grants paid....... 563,125 563,125
26 Total expenses and disbursements. Add lines 24 and 25 749,763 80,623 0 657,329
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,250,037
b Net investment income (if negative, enter -0-) 1,889,422
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 6,235 2,988 2,988
2 Savings and temporary cash investments......... 866,724 381,905 381,905
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 10,976,504 Click to see attachment12,680,412 16,192,926
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) 11,849,463 13,065,305 16,577,819
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 11,849,463 13,065,305
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)..... 11,849,463 13,065,305
30 Total liabilities and net assets/fund balances (see instructions). 11,849,463 13,065,305
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
11,849,463
2
Enter amount from Part I, line 27a .....................
2
1,250,037
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
13,099,500
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
34,195
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
13,065,305
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 44. J P MORGAN CHASE & CO   2018-03-21 2021-01-07
b 80. TRUIST FINL CORP   2019-11-06 2021-01-07
c 43. DISNEY (WALT) COMPANY HOLDING CO.   2011-08-24 2021-01-15
d 7. NVIDIA CORP   2020-01-23 2021-01-21
e 12. SQUARE INC - A   2019-04-10 2021-01-21
40. BRISTOL MYERS SQUIBB CO COM   2020-05-04 2021-01-27
50. BRISTOL MYERS SQUIBB CO COM   2013-06-26 2021-01-27
130. COMCAST CORP NEW CL A   2012-04-13 2021-01-27
4207.6945 MOLSSF LIQUIDATING TRUST   2020-12-30 2021-01-29
70. COCA-COLA CO USD   2019-09-11 2021-02-03
190. PFIZER INC COM   2020-05-04 2021-02-03
110. PFIZER INC COM   2020-08-24 2021-02-03
60. PFIZER INC COM   2017-10-25 2021-02-03
21. PROCTER & GAMBLE CO COM   2020-03-19 2021-02-03
21. CELANESE CORP DEL   2011-08-24 2021-02-04
12. CELANESE CORP DEL   2020-09-01 2021-02-04
11. MICROSOFT CORP COM   2019-06-24 2021-02-04
16. SQUARE INC - A   2019-04-10 2021-02-04
47. DEERE & COMPANY   2017-06-16 2021-02-05
62. TRANE TECHNOLOGIES PLC   2012-02-16 2021-02-05
18. MICROSOFT CORP COM   2019-06-24 2021-02-08
15. SQUARE INC - A   2019-04-10 2021-02-08
180. PFIZER INC COM   2020-06-03 2021-02-09
180. PFIZER INC COM   2017-10-25 2021-02-09
16. APPLE COMPUTER INC COM   2021-02-04 2021-02-11
330. SCHWAB CHARLES CORP NEW   2015-05-12 2021-02-19
45. APPLE COMPUTER INC COM   2020-02-19 2021-02-23
15. APPLE COMPUTER INC COM   2021-02-04 2021-02-23
41. APPLE COMPUTER INC COM   2020-02-19 2021-02-25
21. PAYPAL HOLDINGS INC   2019-04-10 2021-02-25
57. DOLLAR GENERAL CORP   2020-03-20 2021-03-01
11. NVIDIA CORP   2020-01-15 2021-03-01
11. CHARTER COMMUNICATIONS INC-A   2020-02-03 2021-03-04
11. CHARTER COMMUNICATIONS INC-A   2020-02-03 2021-03-05
20. COSTCO WHSL CORP NEW   2011-08-24 2021-03-05
25. NVIDIA CORP   2020-01-09 2021-03-05
3. O'REILLY AUTOMOTIVE INC   2020-04-29 2021-03-05
11. O'REILLY AUTOMOTIVE INC   2020-11-11 2021-03-05
104. APPLE COMPUTER INC COM   2019-10-28 2021-03-08
12. PROCTER & GAMBLE CO COM   2020-04-03 2021-03-11
38. PROCTER & GAMBLE CO COM   2018-12-06 2021-03-11
16. AMERICAN TOWER CORP-CL A   2020-04-03 2021-03-15
9. AMERICAN TOWER CORP-CL A   2015-06-17 2021-03-15
20. EQUINIX INC   2017-06-21 2021-03-15
140. NEXTERA ENERGY INC   2018-05-09 2021-03-16
15. O'REILLY AUTOMOTIVE INC   2020-04-24 2021-03-16
70. OTIS WORLDWIDE CORP   2020-04-08 2021-03-25
60. OTIS WORLDWIDE CORP   2019-10-21 2021-03-25
190. BANK AMER CORP   2015-02-25 2021-04-06
10. CHARTER COMMUNICATIONS INC-A   2020-02-03 2021-04-16
250. MONDELEZ INTERNATIONAL INC   2016-03-22 2021-04-16
50. MONDELEZ INTERNATIONAL INC   2020-11-11 2021-04-16
19. PROCTER & GAMBLE CO COM   2018-12-06 2021-04-16
110. OTIS WORLDWIDE CORP   2020-04-08 2021-04-20
63. YUM BRANDS INC   2011-08-24 2021-04-26
70. AMERICAN INTERNATIONAL GROUP   2019-09-17 2021-04-29
100. SYNCHRONY FINANCIAL   2016-10-06 2021-04-29
49. PROCTER & GAMBLE CO COM   2018-12-06 2021-05-04
54. NIKE INC CL B   2018-02-14 2021-05-07
34.433 BNYM DIV EMG MKTS-Y   2020-12-29 2021-05-11
5573.647 BNYM DIV EMG MKTS-Y   2014-01-31 2021-05-11
18. THERMO ELECTRON CORP   2019-02-28 2021-05-14
140. APPLE COMPUTER INC COM   2019-10-28 2021-05-26
20. DEERE & COMPANY   2017-06-16 2021-05-27
22. O'REILLY AUTOMOTIVE INC   2020-04-24 2021-05-27
1064.8054 MOLSSF LIQUIDATING TRUST   2020-12-30 2021-05-27
104. ABBOTT LABORATORIES   2014-04-08 2021-06-01
222.118 BNYM US EQUITY FUND-Y   2020-12-14 2021-06-03
21417.344 BNYM US EQUITY FUND-Y   2011-02-09 2021-06-03
11997.6 BNYM INTL SMALL CAP-Y   2015-07-17 2021-06-03
108. APPLE COMPUTER INC COM   2019-10-10 2021-06-14
37. ELI LILLY & CO COM   2020-06-23 2021-06-14
34. TEXAS INSTRUMENTS INC   2021-03-05 2021-06-14
100. YUM BRANDS INC   2011-08-24 2021-06-14
150. LAS VEGAS SANDS CORP   2020-09-02 2021-06-15
260. LAS VEGAS SANDS CORP   2020-09-02 2021-06-23
40. LUMENTUM HOLDINGS INC   2020-07-06 2021-06-24
20. LUMENTUM HOLDINGS INC   2020-02-24 2021-06-24
15. TEXAS INSTRUMENTS INC   2021-03-05 2021-06-24
44. HOME DEPOT INC USD 0.05   2021-01-15 2021-07-06
110. BANK AMER CORP   2015-02-25 2021-07-16
32. J P MORGAN CHASE & CO   2019-07-18 2021-07-16
23. VISA INC   2020-06-11 2021-07-29
10. VISA INC   2020-08-03 2021-07-29
110. MONDELEZ INTERNATIONAL INC   2021-06-15 2021-07-30
80. PHILIP MORRIS INTERNATIONAL   2018-05-04 2021-07-30
10. MONDELEZ INTERNATIONAL INC   2021-06-15 2021-08-04
170. MONDELEZ INTERNATIONAL INC   2016-03-22 2021-08-04
101. F M C CORP COM NEW   2020-07-15 2021-08-05
50. MICRON TECHNOLOGY   2020-02-03 2021-08-11
12. SQUARE INC - A   2019-04-10 2021-08-11
50. VALERO ENERGY CORP NEW   2021-02-08 2021-08-11
70. VALERO ENERGY CORP NEW   2021-02-25 2021-08-11
4. HOME DEPOT INC USD 0.05   2021-02-03 2021-08-17
39. HOME DEPOT INC USD 0.05   2011-08-24 2021-08-17
50. NIKE INC CL B   2015-04-21 2021-08-19
30. COCA-COLA CO USD   2020-11-11 2021-08-27
110. COCA-COLA CO USD   2019-09-11 2021-08-27
265.788 BNYM GLBL RL EST SEC-Y   2020-12-28 2021-09-08
2990.027 BNYM GLBL RL EST SEC-Y   2016-12-27 2021-09-08
11858.919 BNYM INTL SMALL CAP-Y   2015-11-02 2021-09-08
13220.28 ASG GLOBAL ALTERNATIVES FUND-Y   2011-02-09 2021-09-08
52. APPLE COMPUTER INC COM   2019-08-01 2021-09-20
270. BRISTOL MYERS SQUIBB CO COM   2013-06-26 2021-09-20
107. PROCTER & GAMBLE CO COM   2019-01-02 2021-09-27
44. FACEBOOK INC   2018-11-30 2021-09-30
30. TEXAS INSTRUMENTS INC   2020-06-04 2021-09-30
7. TEXAS INSTRUMENTS INC   2021-03-05 2021-09-30
90. PHILIP MORRIS INTERNATIONAL   2009-04-24 2021-10-05
33. SEMPRA ENERGY   2021-03-16 2021-10-07
103. SEMPRA ENERGY   2020-01-31 2021-10-07
200. COMCAST CORP NEW CL A   2021-03-08 2021-10-11
75. TEXAS INSTRUMENTS INC   2020-05-26 2021-10-13
95. DISNEY (WALT) COMPANY HOLDING CO.   2011-08-24 2021-10-18
51. APPLE COMPUTER INC COM   2019-08-01 2021-10-25
34. LUMENTUM HOLDINGS INC   2020-09-04 2021-10-25
46. LUMENTUM HOLDINGS INC   2020-02-28 2021-10-26
94. FACEBOOK INC   2018-11-30 2021-10-27
60. LUMENTUM HOLDINGS INC   2020-02-28 2021-10-27
53. TEXAS INSTRUMENTS INC   2018-09-19 2021-10-27
54. ADVANCED MICRO DEVICES INC   2021-09-30 2021-11-05
120. BOSTON SCIENTIFIC CORP COM   2021-06-01 2021-11-05
60. BOSTON SCIENTIFIC CORP COM   2020-07-17 2021-11-05
110. COCA-COLA CO USD   2019-08-15 2021-11-05
30. COCA-COLA CO USD   2020-11-11 2021-11-05
2. MEDTRONIC PLC   2020-01-23 2021-11-05
64. MEDTRONIC PLC   2021-05-14 2021-11-05
43. MEDTRONIC PLC   2021-03-05 2021-11-15
20. MEDTRONIC PLC   2019-08-16 2021-11-15
5014.186 BNY MELLON MID CAP STK FD CL M   2020-12-16 2021-11-16
940.814 BNY MELLON MID CAP STK FD CL M   2019-12-18 2021-11-16
6074. BNY MELLON INTL FD CL M SHSS   1994-11-16 2021-11-16
15650.938 BNYM DYN TTL RTRN-Y   2010-07-02 2021-11-16
263. VISA INC   2015-10-20 2021-11-19
12. BOOKING HOLDINGS INC   2021-03-01 2021-11-22
67. MEDTRONIC PLC   2019-08-16 2021-11-23
110. AMERICAN INTERNATIONAL GROUP   2019-07-18 2021-11-24
59. EATON CORP PLC   2012-11-30 2021-11-24
50. TRANE TECHNOLOGIES PLC   2012-02-16 2021-11-24
120. COMCAST CORP NEW CL A   2021-03-05 2021-11-26
36. NIKE INC CL B   2021-10-05 2021-11-26
155. PHILIP MORRIS INTERNATIONAL   2009-04-24 2021-12-03
260. COMCAST CORP NEW CL A   2012-04-13 2021-12-20
55. SALESFORCE COM INC   2011-08-24 2021-12-20
73. MEDTRONIC PLC   2018-05-31 2021-12-20
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(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 6,007   5,069 938
b 4,124   4,394 -270
c 7,348   2,060 5,288
d 3,803   1,762 2,041
e 2,629   897 1,732
2,489   2,398 91
3,111   2,367 744
6,346   2,535 3,811
326,432   321,016 5,416
3,418   3,833 -415
6,619   6,802 -183
3,832   4,042 -210
2,090   2,060 30
2,698   2,410 288
2,644   850 1,794
1,511   1,243 268
2,647   1,542 1,105
3,762   1,197 2,565
14,545   6,144 8,401
9,275   1,533 7,742
4,347   2,485 1,862
3,873   1,122 2,751
6,264   6,162 102
6,264   6,090 174
2,146   2,165 -19
20,372   10,514 9,858
5,565   3,645 1,920
1,855   2,030 -175
5,025   3,321 1,704
5,360   2,264 3,096
10,892   8,025 2,867
6,014   2,710 3,304
6,753   5,891 862
6,782   5,891 891
6,170   1,522 4,648
11,922   6,117 5,805
1,361   1,176 185
4,990   5,114 -124
12,231   6,499 5,732
1,527   1,376 151
4,835   3,818 1,017
3,457   3,483 -26
1,944   843 1,101
13,408   10,213 3,195
10,576   5,645 4,931
7,242   5,864 1,378
4,705   3,028 1,677
4,033   4,267 -234
7,537   3,135 4,402
6,413   5,356 1,057
14,688   10,066 4,622
2,938   2,895 43
2,608   1,747 861
7,782   4,759 3,023
7,302   2,330 4,972
3,413   3,979 -566
4,403   2,756 1,647
6,619   4,497 2,122
7,437   3,664 3,773
1,081   1,014 67
175,013   112,536 62,477
8,273   4,753 3,520
17,781   8,698 9,083
7,197   2,559 4,638
11,678   8,462 3,216
80,972   81,237 -265
11,103   8,004 3,099
5,893   5,355 538
568,202   300,454 267,748
200,000   166,100 33,900
13,971   6,294 7,677
8,326   5,940 2,386
6,414   5,531 883
11,774   3,698 8,076
8,076   7,597 479
13,830   12,818 1,012
3,271   3,395 -124
1,635   1,608 27
2,818   2,440 378
14,041   12,061 1,980
4,213   1,815 2,398
4,881   3,675 1,206
5,718   4,402 1,316
2,486   1,913 573
6,960   7,016 -56
7,978   6,576 1,402
618   638 -20
10,503   6,712 3,791
9,435   10,824 -1,389
3,713   2,692 1,021
3,255   897 2,358
3,294   3,245 49
4,611   5,486 -875
1,279   1,096 183
12,470   3,568 8,902
8,266   2,966 5,300
1,668   1,626 42
6,118   5,981 137
2,857   2,291 566
32,143   26,496 5,647
204,092   153,782 50,310
145,687   142,667 3,020
7,414   2,984 4,430
16,298   12,441 3,857
15,172   9,726 5,446
14,970   6,767 8,203
5,782   3,924 1,858
1,349   1,139 210
8,670   5,223 3,447
4,151   4,329 -178
12,956   16,493 -3,537
10,583   11,031 -448
14,047   9,454 4,593
16,219   3,041 13,178
7,579   2,769 4,810
2,784   2,601 183
3,741   3,517 224
29,638   13,195 16,443
4,862   4,582 280
9,848   6,091 3,757
7,468   5,567 1,901
5,200   5,166 34
2,600   2,256 344
6,246   5,914 332
1,703   1,626 77
247   241 6
7,918   8,023 -105
5,098   4,987 111
2,371   2,213 158
128,463   102,841 25,622
24,104   17,085 7,019
93,357   73,370 19,987
292,829   194,651 98,178
52,933   22,621 30,312
27,700   28,316 -616
7,589   6,828 761
6,382   6,171 211
10,078   4,619 5,459
9,759   1,236 8,523
6,134   6,541 -407
6,057   5,427 630
13,705   5,806 7,899
12,519   3,854 8,665
13,621   1,619 12,002
7,254   6,792 462
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
      639,778
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       938
b       -270
c       5,288
d       2,041
e       1,732
      91
      744
      3,811
      5,416
      -415
      -183
      -210
      30
      288
      1,794
      268
      1,105
      2,565
      8,401
      7,742
      1,862
      2,751
      102
      174
      -19
      9,858
      1,920
      -175
      1,704
      3,096
      2,867
      3,304
      862
      891
      4,648
      5,805
      185
      -124
      5,732
      151
      1,017
      -26
      1,101
      3,195
      4,931
      1,378
      1,677
      -234
      4,402
      1,057
      4,622
      43
      861
      3,023
      4,972
      -566
      1,647
      2,122
      3,773
      67
      62,477
      3,520
      9,083
      4,638
      3,216
      -265
      3,099
      538
      267,748
      33,900
      7,677
      2,386
      883
      8,076
      479
      1,012
      -124
      27
      378
      1,980
      2,398
      1,206
      1,316
      573
      -56
      1,402
      -20
      3,791
      -1,389
      1,021
      2,358
      49
      -875
      183
      8,902
      5,300
      42
      137
      566
      5,647
      50,310
      3,020
      4,430
      3,857
      5,446
      8,203
      1,858
      210
      3,447
      -178
      -3,537
      -448
      4,593
      13,178
      4,810
      183
      224
      16,443
      280
      3,757
      1,901
      34
      344
      332
      77
      6
      -105
      111
      158
      25,622
      7,019
      19,987
      98,178
      30,312
      -616
      761
      211
      5,459
      8,523
      -407
      630
      7,899
      8,665
      12,002
      462
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 1,556,540
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 26,263
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 26,263
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 13,526
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 13,353
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 26,879
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 616
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet616 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (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
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletPA
    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 ofbulletBNY MELLON NA Telephone no.bullet (717) 699-2711

    Located atbulletPO BOX 185PITTSBURGHPA ZIP+4bullet152300185
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    BNY MELLON N A TRUSTEE
    1
    119,226    
    PO BOX 185
    PITTSBURGH,PA152300185
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    15,456,285
    b
    Average of monthly cash balances.......................
    1b
    682,667
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    16,138,952
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    16,138,952
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    242,084
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    15,896,868
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    794,843
    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
    794,843
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    26,263
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    26,263
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    768,580
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    768,580
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    768,580
    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 7 768,580
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 45,975
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 0
    b From 2017...... 0
    c From 2018...... 0
    d From 2019...... 0
    e From 2020...... 0
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 657,329
    a Applied to 2020, but not more than line 2a 45,975
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2021 distributable amount..... 611,354
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    157,226
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2017.... 0
    b Excess from 2018.... 0
    c Excess from 2019.... 0
    d Excess from 2020.... 0
    e Excess from 2021.... 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).)
    NONE
    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.
    NONE
    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
    LANCASTER GENERAL HEALTH
    PO BOX 3555
    LANCASTER,PA176043555
    NONE PC GENERAL OPERATING 140,781
    GOOD SHEPHERD REHABILITATION NETWORK
    PLANNED GIVING OFF-DEVELOPMENT DEPT
    ALLENTOWN,PA18103
    NONE PC GENERAL OPERATING 140,781
    ST JOHNS LUTHERAN CHURCH
    PO BOX 391
    COLUMBIA,PA17512
    NONE PC GENERAL OPERATING 281,563
    Total .................................bullet 3a 563,125
    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 ...........
             
    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 1,556,540  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aPARTNERSHIP/S-CORP
        1 7,921  
    bFEDERAL TAX REFUND     1 3,309  
    cPARTNERSHIP/S-CORP 900099 25,947      
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 25,947 1,973,853  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,999,800
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 InvestmentsOtherSchedule2
    Name:
    HERR BENJAMIN FOR JOHN C ET AL-TR
    EIN:
    38-6897740
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    060505104 BANK AMER CORP AT COST 10,052 27,139
    150870103 CELANESE CORP DEL AT COST 12,489 39,662
    166764100 CHEVRONTEXACO CORP AT COST 32,673 38,021
    126408103 CSX CORP COM AT COST 14,697 42,864
    20030N101 COMCAST CORP NEW CL      
    452308109 ILLINOIS TOOL WORKS AT COST 14,147 40,228
    46141Q865 361 GLOBAL LNG/SHRT AT COST 324,855 342,930
    74925K581 ROBECO BP LNG/SHRT R AT COST 325,685 317,746
    808513105 SCHWAB CHARLES CORP      
    87165B103 SYNCHRONY FINANCIAL AT COST 21,710 40,359
    29444U700 EQUINIX INC AT COST 6,661 13,533
    63872T885 ASG GLOBAL ALTERNATI      
    654106103 NIKE INC CL B AT COST 10,778 29,501
    91913Y100 VALERO ENERGY CORP N AT COST 8,123 18,252
    929089100 VOYA FINANCIAL INC AT COST 13,223 29,176
    05569M780 BNY MELLON S/T US GV AT COST 105,514 102,831
    G06242104 ATLASSIAN CORP PLC-C AT COST 16,991 45,755
    02079K305 ALPHABET INC/CA AT COST 60,954 156,440
    026874784 AMERICAN INTERNATION AT COST 25,806 39,802
    05569M871 BNY MELLON INTL FD C AT COST 386,344 559,807
    46625H100 J P MORGAN CHASE & C AT COST 31,806 50,672
    64110L106 NETFLIX COM INC AT COST 32,061 40,966
    742718109 PROCTER & GAMBLE CO      
    00724F101 ADOBE SYS INC COM AT COST 8,683 36,292
    05569M301 BNY MELLON INCOME ST AT COST 923,779 1,041,246
    05569M384 BNY MELLON INTL EQUI AT COST 355,105 402,251
    65339F101 NEXTERA ENERGY INC AT COST 9,917 19,419
    718172109 PHILIP MORRIS INTERN      
    79466L302 SALESFORCE COM INC      
    437076102 HOME DEPOT INC USD 0 AT COST 2,211 27,806
    594918104 MICROSOFT CORP COM AT COST 60,949 205,828
    609207105 MONDELEZ INTERNATION      
    717081103 PFIZER INC COM AT COST 23,142 31,297
    723787107 PIONEER NAT RES CO AT COST 38,230 45,470
    002824100 ABBOTT LABORATORIES AT COST 34,340 51,652
    03027X100 AMERICAN TOWER CORP- AT COST 7,957 17,843
    05569M368 BNY MELLON CORP BOND AT COST 423,146 449,447
    05569M830 BNY MELLON BOND FD C AT COST 830,382 876,265
    22160K105 COSTCO WHSL CORP NEW AT COST 24,052 45,416
    244199105 DEERE & COMPANY AT COST 12,413 33,260
    254687106 DISNEY (WALT) COMPAN      
    101137107 BOSTON SCIENTIFIC CO AT COST 24,658 28,886
    30303M102 FACEBOOK INC AT COST 5,922 39,689
    92826C839 VISA INC      
    G29183103 EATON CORP PLC AT COST 7,556 35,601
    05569M509 BNY MELLON MID CAP S AT COST 914,606 1,643,068
    05569M855 BNY MELLON EMERGING AT COST 369,529 642,981
    110122108 BRISTOL MYERS SQUIBB      
    30161N101 EXELON CORP AT COST 13,145 23,104
    438516106 HONEYWELL INTL INC AT COST 5,293 38,574
    872590104 T -MOBILE US INC AT COST 6,982 12,758
    91324P102 UNITED HEALTH GROUP AT COST 36,749 78,836
    G5960L103 MEDTRONIC PLC AT COST 9,589 11,483
    023135106 AMAZON COM INC AT COST 29,732 136,708
    037833100 APPLE COMPUTER INC C AT COST 7,575 119,860
    126650100 CVS CORP AT COST 24,134 35,074
    595112103 MICRON TECHNOLOGY AT COST 25,995 60,548
    921075297 VAN ECK CM COMMODITY AT COST 260,432 200,636
    882508104 TEXAS INSTRUMENTS IN AT COST 6,301 11,497
    988498101 YUM BRANDS INC      
    05569M814 BNY MELLON INTERMEDI AT COST 520,792 535,514
    05587N737 BNYM OPPORT SM CAP-Y AT COST 177,740 261,477
    12572Q105 CME GROUP INC AT COST 31,400 38,381
    70450Y103 PAYPAL HOLDINGS INC AT COST 31,201 41,488
    00287Y109 ABBVIE INC AT COST 34,598 52,400
    05587K824 BNYM SEL MGR S/C VAL AT COST 195,591 281,609
    05587N851 BNYM GLBL DYN BND IN AT COST 106,523 106,845
    05587K857 BNYM INTL STCK-Y AT COST 136,248 286,845
    05588Q507 BNYM RESEARCH GROWTH AT COST 577,541 801,438
    89832Q109 TRUIST FINL CORP AT COST 22,068 30,270
    191216100 COCA-COLA CO USD AT COST 15,090 17,171
    05587K832 BNYM US EQUITY FUND-      
    05588F709 BNYM GLBL RL EST SEC AT COST 173,031 234,141
    007903107 ADVANCED MICRO DEVIC AT COST 8,018 46,911
    461202103 INTUIT INC COM AT COST 8,580 19,940
    05587N505 BNYM DYN TTL RTRN-Y      
    05587N794 BNYM GLBL RL RTRN -Y AT COST 148,486 172,389
    05588E850 BNY MELLON HIGH YIEL AT COST 323,034 315,995
    05589K400 BNYM FLTNG RT INC-Y AT COST 268,882 250,103
    482480100 KLA TENCOR CORP AT COST 24,036 46,452
    883556102 THERMO ELECTRON CORP AT COST 16,587 32,695
    05587K865 BNYM SELECT MGR S/C AT COST 214,425 307,909
    09661F701 BNYM INTL SMALL CAP-      
    78409V104 S & P GLOBAL INC AT COST 23,690 45,777
    05587N703 BNY MELLON DYNAMIC V AT COST 539,468 572,398
    05588D811 BNYM DIV EMG MKTS-Y      
    852234103 SQUARE INC - A AT COST 14,151 21,481
    55024U109 LUMENTUM HOLDINGS IN      
    9DDI00547 MOLSSF LIQUIDATING T AT COST 48,125 44,283
    15135B101 CENTENE CORP DEL AT COST 23,138 29,664
    88339J105 TRADE DESK INC/THE AT COST 24,193 50,402
    75513E101 RAYTHEON TECHNOLOGIE AT COST 39,875 43,030
    00771X419 G Q G PART EMERG MKT AT COST 219,177 230,713
    532457108 ELI LILLY & CO COM AT COST 19,671 29,556
    68902V107 OTIS WORLDWIDE CORP      
    256677105 DOLLAR GENERAL CORP      
    517834107 LAS VEGAS SANDS CORP      
    83088M102 SKYWORKS SOLUTIONS I AT COST 10,664 12,566
    67103H107 O'REILLY AUTOMOTIVE      
    87234N765 TCW EMERGING MARKETS AT COST 275,531 259,647
    G46188101 HORIZON THERAPEUTICS AT COST 15,006 21,552
    302491303 F M C CORP COM NEW      
    16119P108 CHARTER COMMUNICATIO AT COST 21,416 22,819
    816851109 SEMPRA ENERGY      
    67066G104 NVIDIA CORP AT COST 20,959 78,821
    009158106 AIR PRODUCTS AND CHE AT COST 31,607 39,554
    22788C105 CROWDSTRIKE HOLDINGS AT COST 18,637 27,437
    G8994E103 TRANE TECHNOLOGIES P AT COST 4,228 34,547
    38145N220 GOLDMAN SACHS ABS RE AT COST 191,026 188,460
    88160R101 TESLA MOTORS INC AT COST 21,246 31,703
    518439104 ESTEE LAUDER COMPANI AT COST 27,143 32,578
    922042858 VANGUARD INTL EQUITY AT COST 245,340 222,570
    571903202 MARRIOTT INTERNATION AT COST 34,976 37,179
    367829884 GATEWAY TR AT COST 299,983 312,109
    03076C106 AMERIPRISE FINL INC AT COST 28,547 37,406
    828806109 SIMON PPTY GROUP INC AT COST 26,185 34,031
    G1151C101 ACCENTURE PLC IRELAN AT COST 36,104 41,455
    235851102 DANAHER CORP COMMON AT COST 27,007 37,178
    922908751 VANGUARD INDEX TR AT COST 725,690 723,232
    31618H283 FIDELITY ADV INTL SM AT COST 245,650 227,308
    57636Q104 MASTERCARD INC AT COST 54,564 57,132
    37045V100 GENERAL MOTORS CO AT COST 33,266 34,592
    464288273 ISHARES MSCI EAFE SM AT COST 243,895 237,543
    V7780T103 ROYAL CARIBBEAN CRUI AT COST 29,480 30,760
    538034109 LIVE NATION INC AT COST 31,415 40,455
    745867101 PULTE GROUP INC AT COST 23,539 27,437
    23804L103 DATADOG INC AT COST 14,876 17,099

    TY 2021 LegalFeesSchedule
    Name:
    HERR BENJAMIN FOR JOHN C ET AL-TR
    EIN:
    38-6897740
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES - PRINCIPAL (ALLOCA 46,514     46,514


    TY 2021 OtherDecreasesSchedule
    Name:
    HERR BENJAMIN FOR JOHN C ET AL-TR
    EIN:
    38-6897740
    Description Amount
    MUTUAL FUND TIMING ADJ 189
    ROUNDING 5
    MOLSSF PARTNERSHIP ADJUSTMENT 34,001


    TY 2021 OtherExpensesSchedule
    Name:
    HERR BENJAMIN FOR JOHN C ET AL-TR
    EIN:
    38-6897740
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FROM PARTNERSHIP/S-CORP 230 230   0


    TY 2021 OtherIncomeSchedule2
    Name:
    HERR BENJAMIN FOR JOHN C ET AL-TR
    EIN:
    38-6897740
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL TAX REFUND 3,309 0  
    FROM PARTNERSHIP/S-CORP 33,868 7,921  


    TY 2021 TaxesSchedule
    Name:
    HERR BENJAMIN FOR JOHN C ET AL-TR
    EIN:
    38-6897740
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 7,415 7,415   0
    FEDERAL ESTIMATES - PRINCIPAL 11,810 0   0
    FOREIGN TAXES ON NONQUALIFIED 1,443 1,443   0