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
CLARENCE L ROBEY CHARITABLE TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 919798
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ORLANDO, FL328919798
A Employer identification number

54-6138649
B Telephone number (see instructions)

(804) 273-7445
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,659,081
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 184 184  
4 Dividends and interest from securities... 31,453 31,168  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 167,308
b Gross sales price for all assets on line 6a 849,668
7 Capital gain net income (from Part IV, line 2)... 167,308
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 198,945 198,660  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 1,598 799   799
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 225 0 0 225
b Accounting fees (attach schedule)....... 650 0 0 650
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 1,639 146   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications.......... 39 0 0 39
23 Other expenses (attach schedule)....... 1,828 4   1,824
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 5,979 949 0 3,537
25 Contributions, gifts, grants paid....... 71,500 71,500
26 Total expenses and disbursements. Add lines 24 and 25 77,479 949 0 75,037
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 121,466
b Net investment income (if negative, enter -0-) 197,711
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............. 19,548 21,341 21,341
2 Savings and temporary cash investments......... 38,646 30,563 30,563
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)....... 137,881 Click to see attachment209,016 264,871
c Investments—corporate bonds (attach schedule)....... 277,707 Click to see attachment310,322 302,254
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 870,683 Click to see attachment897,130 1,040,052
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,344,465 1,468,372 1,659,081
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 1,344,465 1,468,372
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 1,344,465 1,468,372
30 Total liabilities and net assets/fund balances (see instructions). 1,344,465 1,468,372
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
1,344,465
2
Enter amount from Part I, line 27a .....................
2
121,466
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
3,121
4
Add lines 1, 2, and 3 ..........................
4
1,469,052
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
680
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
1,468,372
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 4. ABBOTT LABORATORIES     2021-02-24
b 2. ABBVIE INC   2016-01-06 2021-02-24
c 5. ALIBABA GROUP HLDG LTD   2017-10-05 2021-02-24
d 1. AMAZON INC COMMON   2017-10-05 2021-02-24
e 3. ANALOG DEVICES INC   2018-01-16 2021-02-24
1. ELEVANCE HEALTH INC   2020-01-16 2021-02-24
5. AUTODESK, INC. COMMON   2017-10-05 2021-02-24
1. AUTOMATIC DATA PROCESSING INC   2017-10-05 2021-02-24
2. CVS CORP COMMON   2017-04-17 2021-02-24
7. CERNER CORP   2017-10-05 2021-02-24
9. CISCO SYSTEMS   2017-10-05 2021-02-24
3. CITIGROUP INC   2020-07-06 2021-02-24
5. COLGATE PALMOLIVE COMPANY   2019-06-12 2021-02-24
1. CROWN CASTLE INC REIT   2017-04-17 2021-02-24
4. DEERE & COMPANY   2017-10-05 2021-02-24
11. DISCOVER FINL SVCS   2015-09-02 2021-02-24
8. EXPEDITORS INTERNATIONAL   2017-10-05 2021-02-24
5. FACEBOOK INC CL A   2017-10-05 2021-02-24
1. FACTSET RESH SYS INC   2017-10-05 2021-02-24
1. GOLDMAN SACHS GROUP COMMON   2020-07-06 2021-02-24
1. HOME DEPOT INCORPORATED   2020-01-16 2021-02-24
1. HONEYWELL INTERNATIONAL INC   2015-09-02 2021-02-24
689. ISHARES 1-5Y INV GRADE CORP ETF   2020-07-06 2021-02-24
1. JOHNSON & JOHNSON   2015-09-02 2021-02-24
6. MICROSOFT CORPORATION   2013-03-19 2021-02-24
12. MONSTER BEVERAGE CORP   2017-10-05 2021-02-24
.1 MSIF GLOBAL OPPORTUNITY-IS   2020-03-18 2021-02-24
65.902 MSIF GLOBAL OPPORTUNITY-IS   2019-02-12 2021-02-24
15. NASDAQ OMX GROUP INC   2017-10-05 2021-02-24
4. NOVO-NORDISK A S ADR   2017-10-05 2021-02-24
2. NVIDIA CORP COMMON   2020-01-16 2021-02-24
18. ORACLE SYSTEM CORPORATION   2017-10-05 2021-02-24
1115.241 PIMCO FDS PAC INVT MGMT REAL RETURN BD FD INSTL CL   2020-01-16 2021-02-24
1. PEPSICO INCORPORATED   2020-07-06 2021-02-24
15. PHILLIPS 66   2019-02-11 2021-02-24
6. QUALCOMM INC COMMON   2015-09-02 2021-02-24
2. REGENERON PHARMACEUTICALS INC   2017-10-05 2021-02-24
4. RESTAURANT BRANDS INTERNATIONAL INC   2020-01-16 2021-02-24
12. ROCHE HLDG LTD SPONS ADR   2020-01-16 2021-02-24
6. ROCHE HLDG LTD SPONS ADR   2020-07-06 2021-02-24
9. SEI INVESTMENTS CO   2017-10-05 2021-02-24
4. SALESFORCE INC   2020-07-06 2021-02-24
7. STARBUCKS CORPORATIONS COMMON     2021-02-24
4.64 TOUCHSTONE MID CAP GROW-INST   2019-02-12 2021-02-24
26.327 TOUCHSTONE MID CAP VALUE-INS   2019-02-12 2021-02-24
2. TYSON FOODS, INC. COMMON   2020-03-26 2021-02-24
1. UNITED PARCEL SERVICES B   2015-03-30 2021-02-24
2. VARIAN MED SYS INC   2017-10-05 2021-02-24
48.769 VANGUARD 500 INDEX ADMIRAL FUND     2021-02-24
2. VERIZON COMMUNICATIONS INC   2014-02-24 2021-02-24
8. VISA INC   2014-02-04 2021-02-24
1. WORKDAY INC-CLASS A   2020-07-06 2021-02-24
4. YUM! BRANDS, INC. COMMON   2017-10-05 2021-02-24
5. YUM CHINA HOLDINGS INC   2017-10-05 2021-02-24
3. ACCENTURE PLC IRELAND SHS   2015-09-02 2021-02-24
2. MEDTRONIC PLC   2017-10-05 2021-02-24
1. CHUBB LTD   2019-02-11 2021-02-24
1. ALIBABA GROUP HLDG LTD   2017-10-05 2021-03-01
6. CORNING INCORPORATED   2020-01-16 2021-03-01
1. FACEBOOK INC CL A   2017-10-05 2021-03-01
1. FACTSET RESH SYS INC   2017-10-05 2021-03-01
1. MICROSOFT CORPORATION   2013-03-19 2021-03-01
794.286 NEUBERGER BERMAN HIGH INCM BD-INS   2020-07-06 2021-03-01
2. NORTHERN TRUST GROUP   2020-07-06 2021-03-01
1. PEPSICO INCORPORATED   2020-07-06 2021-03-01
4. PHILLIPS 66     2021-03-01
2.175 VANGUARD 500 INDEX ADMIRAL FUND   2018-10-19 2021-03-01
5.822 VIRTUS KAR SMALL CAP VALUE I   2019-02-12 2021-03-01
1. CHUBB LTD   2019-02-11 2021-03-01
.5 ISHARES GOLD TRUST   2020-10-22 2021-06-03
22.226 INVESCO DEVELOPING MARKETS FUND   2021-02-24 2021-06-16
1. ALIBABA GROUP HLDG LTD   2017-10-05 2021-06-16
1. ALPHABET INC CL C   2013-07-16 2021-06-16
1. ALPHABET INC CL A   2017-04-17 2021-06-16
1. AUTODESK, INC. COMMON   2020-03-18 2021-06-16
1134.219 CAUSEWAY INTL VALUE-INST     2021-06-16
1. DEERE & COMPANY   2020-07-06 2021-06-16
2. EXPEDITORS INTERNATIONAL   2017-10-05 2021-06-16
1. FACEBOOK INC CL A   2017-10-05 2021-06-16
322.245 HARDING LOEVNER INTL EQ-INST   2020-03-18 2021-06-16
1. INTUITIVE SURGICAL INC   2020-07-06 2021-06-16
1162. ISHARES GOLD TRUST   2020-10-22 2021-06-16
123. ISHARES TR MSCI SMALL CAP ETF   2020-03-18 2021-06-16
365. ISHARES BARCLAYS CREDIT BOND ETF   2020-10-22 2021-06-16
24. ISHARES US TREASURY BOND ETF   2020-07-06 2021-06-16
402.795 LAZARD EMERGING MARKETS FD INSTL CL     2021-06-16
3. MONSTER BEVERAGE CORP   2017-10-05 2021-06-16
47.702 MSIF GLOBAL OPPORTUNITY-IS   2020-03-18 2021-06-16
4. NASDAQ OMX GROUP INC   2017-10-05 2021-06-16
6. NASDAQ OMX GROUP INC   2020-07-06 2021-06-16
1. NVIDIA CORP COMMON   2020-01-16 2021-06-16
5. PHILLIPS 66   2020-07-06 2021-06-16
7. PHILLIPS 66     2021-06-16
2774.58 PIMCO INVESTMENT GRD CORP-IN     2021-06-16
1. QUALCOMM INC COMMON   2020-03-18 2021-06-16
4. ROCHE HLDG LTD SPONS ADR   2020-01-16 2021-06-16
2. SEI INVESTMENTS CO   2017-10-05 2021-06-16
1. SALESFORCE INC   2020-07-06 2021-06-16
59.477 T ROWE PR QM US S/C GR EQ-I     2021-06-16
149.518 TOUCHSTONE MID CAP GROW-INST     2021-06-16
563.675 TOUCHSTONE MID CAP VALUE-INS     2021-06-16
38.238 VAN ECK EMERGING MARKETS-I   2021-02-24 2021-06-16
511.422 VANGUARD DEVELOPED MKTS INDEX -127     2021-06-16
299.347 VANGUARD 500 INDEX ADMIRAL FUND   2020-10-22 2021-06-16
1. VISA INC   2020-03-18 2021-06-16
256.998 VIRTUS KAR SMALL CAP VALUE I     2021-06-16
1. WORKDAY INC-CLASS A   2020-07-06 2021-06-16
1. YUM! BRANDS, INC. COMMON   2017-10-05 2021-06-16
.2 ORGANON & CO   2020-03-18 2021-06-24
6. DICKS SPORTING GOODS INC   2021-06-16 2021-07-23
8. DISCOVER FINL SVCS   2021-06-16 2021-07-23
397.415 EATON VANCE-ATLANTA SMID-R6   2020-10-22 2021-07-23
12. ISHARES BARCLAYS CREDIT BOND ETF   2020-10-22 2021-07-23
87. ISHARES US TREASURY BOND ETF   2020-07-06 2021-07-23
2806.698 NEUBERGER BERMAN HIGH INCM BD-INS   2020-07-06 2021-07-23
24. NVIDIA CORP COMMON   2020-03-18 2021-07-23
104.632 PIMCO INVESTMENT GRD CORP-IN   2020-07-06 2021-07-23
447.801 T ROWE PR QM US S/C GR EQ-I   2020-07-06 2021-07-23
20.624 VANGUARD 500 INDEX ADMIRAL FUND   2020-10-22 2021-07-23
230.663 INVESCO DEVELOPING MARKETS FUND     2021-09-08
232.452 INVESCO DEVELOPING MARKETS FUND     2021-09-08
1. ABBOTT LABORATORIES   2021-06-16 2021-09-08
1. ANALOG DEVICES INC   2021-06-16 2021-09-08
1. AUTODESK, INC. COMMON   2020-03-18 2021-09-08
1. AUTOMATIC DATA PROCESSING INC   2017-10-05 2021-09-08
8. CERNER CORP   2017-10-05 2021-09-08
2. CITIGROUP INC   2021-06-16 2021-09-08
2. COLGATE PALMOLIVE COMPANY   2020-01-16 2021-09-08
5. DEERE & COMPANY     2021-09-08
1. DISNEY WALT COMPANY   2021-02-24 2021-09-08
1. DISCOVER FINL SVCS   2021-06-16 2021-09-08
4. EXPEDITORS INTERNATIONAL   2017-10-05 2021-09-08
1. FACEBOOK INC CL A   2017-10-05 2021-09-08
1. GOLDMAN SACHS GROUP COMMON   2021-06-16 2021-09-08
1. HOME DEPOT INCORPORATED   2021-06-16 2021-09-08
2. HONEYWELL INTERNATIONAL INC   2021-06-16 2021-09-08
1552. ISHARES US TREASURY BOND ETF   2020-07-06 2021-09-08
49.34 JOHCM INTERNATIONAL SEL-INST   2021-06-16 2021-09-08
3. MICROSOFT CORPORATION   2021-06-16 2021-09-08
2. MONSTER BEVERAGE CORP   2017-10-05 2021-09-08
6. NORTHERN TRUST GROUP   2021-06-16 2021-09-08
2. NOVO-NORDISK A S ADR   2017-10-05 2021-09-08
6. ORACLE SYSTEM CORPORATION   2017-10-05 2021-09-08
4. ORGANON & CO   2016-01-06 2021-09-08
2. QUALCOMM INC COMMON   2020-03-18 2021-09-08
1. SALESFORCE INC   2021-07-23 2021-09-08
2. STARBUCKS CORPORATIONS COMMON   2021-06-16 2021-09-08
10. VANGUARD INDEX FUNDS REIT ETF   2021-07-23 2021-09-08
1. VISA INC   2020-03-18 2021-09-08
1. YUM! BRANDS, INC. COMMON   2017-10-05 2021-09-08
2. YUM CHINA HOLDINGS INC   2017-10-05 2021-09-08
1. MEDTRONIC PLC   2021-06-16 2021-09-08
1. CHUBB LTD   2021-06-16 2021-09-08
3431.841 DOUBLELINE TTL RTRN BND-R6     2021-10-28
427.175 INVESCO DEVELOPING MARKETS FUND     2021-12-07
24. ABBOTT LABORATORIES     2021-12-07
13. ABBOTT LABORATORIES   2021-06-16 2021-12-07
12. ABBVIE INC     2021-12-07
15. ABBVIE INC     2021-12-07
2. ALIBABA GROUP HLDG LTD     2021-12-07
18. ALIBABA GROUP HLDG LTD     2021-12-07
19. ANALOG DEVICES INC     2021-12-07
9. ANALOG DEVICES INC   2021-06-16 2021-12-07
4. ELEVANCE HEALTH INC   2021-06-16 2021-12-07
7. ELEVANCE HEALTH INC     2021-12-07
15. AUTODESK, INC. COMMON     2021-12-07
3. AUTOMATIC DATA PROCESSING INC   2017-10-05 2021-12-07
148.801 BLACKROCK EVENT DRIVEN EQ-IS   2021-06-16 2021-12-07
1. BOEING COMPANY   2021-02-24 2021-12-07
17. BOEING COMPANY   2020-07-06 2021-12-07
6. BOOZ ALLEN HAMILTON HOLDING CL A   2021-09-08 2021-12-07
29. CVS CORP COMMON     2021-12-07
15. CVS CORP COMMON   2021-06-16 2021-12-07
12. CERNER CORP   2017-10-05 2021-12-07
18. CISCO SYSTEMS   2021-06-16 2021-12-07
56. CISCO SYSTEMS     2021-12-07
37. CITIGROUP INC     2021-12-07
14. CITIGROUP INC   2021-06-16 2021-12-07
34. COCA COLA COMPANY   2017-10-05 2021-12-07
20. COCA COLA COMPANY     2021-12-07
15. COLGATE PALMOLIVE COMPANY     2021-12-07
19. CORNING INCORPORATED   2021-06-16 2021-12-07
86. CORNING INCORPORATED     2021-12-07
18. CUMMINS ENGINE CO INC COMMON     2021-12-07
8. DEERE & COMPANY     2021-12-07
8. DISCOVER FINL SVCS   2021-06-16 2021-12-07
43. DISCOVER FINL SVCS     2021-12-07
31. EOG RESOURCES INC   2020-10-22 2021-12-07
12. EOG RESOURCES INC   2021-06-16 2021-12-07
61.604 EATON VANCE FLOATING RATE-R6   2021-09-09 2021-12-07
14. ENCOMPASS HEALTH CORP   2020-10-22 2021-12-07
18. EXPEDITORS INTERNATIONAL   2017-10-05 2021-12-07
4. FACTSET RESH SYS INC   2017-10-05 2021-12-07
7. GOLDMAN SACHS GROUP COMMON     2021-12-07
3. GOLDMAN SACHS GROUP COMMON   2021-06-16 2021-12-07
1. ILLUMINA INC   2021-02-24 2021-12-07
4. ILLUMINA INC   2020-07-06 2021-12-07
10. ISHARES BARCLAYS CREDIT BOND ETF   2020-10-22 2021-12-07
94. ISHARES US TREASURY BOND ETF   2020-07-06 2021-12-07
10. L3 HARRIS TECHNOLOGIES INC   2020-10-22 2021-12-07
7. L3 HARRIS TECHNOLOGIES INC     2021-12-07
92.75 BRANDYWINEGLOBAL CORP CREDIT-I   2021-07-23 2021-12-07
33. MONSTER BEVERAGE CORP     2021-12-07
6. MOTOROLA SOLUTIONS INC   2021-06-16 2021-12-07
23. NORTHERN TRUST GROUP     2021-12-07
4. NORTHERN TRUST GROUP   2021-06-16 2021-12-07
11. NOVO-NORDISK A S ADR   2017-10-05 2021-12-07
8. NVIDIA CORP COMMON   2021-09-08 2021-12-07
52. ORACLE SYSTEM CORPORATION     2021-12-07
14. PEPSICO INCORPORATED     2021-12-07
8. PEPSICO INCORPORATED   2021-06-16 2021-12-07
72.613 PIMCO INVESTMENT GRD CORP-IN   2021-09-09 2021-12-07
48.914 PIMCO INVESTMENT GRD CORP-IN   2020-07-06 2021-12-07
5. REGENERON PHARMACEUTICALS INC   2017-10-05 2021-12-07
36. RESTAURANT BRANDS INTERNATIONAL INC     2021-12-07
20. RESTAURANT BRANDS INTERNATIONAL INC     2021-12-07
53. ROCHE HLDG LTD SPONS ADR     2021-12-07
23. SEI INVESTMENTS CO   2017-10-05 2021-12-07
15. SALESFORCE INC   2020-07-06 2021-12-07
40. SCHLUMBERGER LTD     2021-12-07
8. SCHLUMBERGER LTD   2021-06-16 2021-12-07
42. STARBUCKS CORPORATIONS COMMON     2021-12-07
1. STARBUCKS CORPORATIONS COMMON   2021-06-16 2021-12-07
18. TYSON FOODS, INC. COMMON     2021-12-07
14. TYSON FOODS, INC. COMMON     2021-12-07
21. UNITED PARCEL SERVICES B     2021-12-07
7. UNITED PARCEL SERVICES B   2021-06-16 2021-12-07
829.171 VAN ECK EMERGING MARKETS-I   2020-10-22 2021-12-07
168.1 VAN ECK EMERGING MARKETS-I     2021-12-07
10. VANGUARD SHORT TERM BOND ETF   2021-06-16 2021-12-07
55.442 VANGUARD M/B SEC INDEX-ADM   2020-07-06 2021-12-07
17. VERIZON COMMUNICATIONS INC   2021-06-16 2021-12-07
49. VERIZON COMMUNICATIONS INC     2021-12-07
5. WORKDAY INC-CLASS A   2020-07-06 2021-12-07
10. YUM! BRANDS, INC. COMMON   2017-10-05 2021-12-07
14. YUM CHINA HOLDINGS INC   2017-10-05 2021-12-07
9. AMDOCS LTD ORD   2021-06-16 2021-12-07
27. AMDOCS LTD ORD     2021-12-07
10. ACCENTURE PLC IRELAND SHS     2021-12-07
5. ACCENTURE PLC IRELAND SHS   2021-06-16 2021-12-07
28. MEDTRONIC PLC     2021-12-07
10. MEDTRONIC PLC   2021-06-16 2021-12-07
15. CHUBB LTD     2021-12-07
8. CHUBB LTD   2021-06-16 2021-12-07
CAPITAL GAIN DIVIDENDS P    
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CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
CAPITAL GAIN DIVIDENDS P    
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 491   151 340
b 219   115 104
c 1,248   893 355
d 3,156   974 2,182
e 480   278 202
306   304 2
1,485   579 906
175   113 62
140   157 -17
493   500 -7
410   303 107
205   156 49
385   367 18
162   96 66
1,385   513 872
1,067   567 500
738   480 258
1,330   845 485
298   181 117
328   207 121
262   228 34
211   93 118
37,898   37,715 183
164   93 71
1,402   169 1,233
1,061   666 395
5   2 3
3,140   1,605 1,535
2,130   1,170 960
290   195 95
1,147   495 652
1,166   879 287
13,517   12,625 892
132   133 -1
1,307   1,412 -105
838   333 505
925   946 -21
247   254 -7
501   500 1
251   263 -12
522   565 -43
961   791 170
725   516 209
195   137 58
590   447 143
138   125 13
161   97 64
352   204 148
17,704   13,329 4,375
114   96 18
1,754   428 1,326
261   192 69
417   299 118
301   200 101
779   282 497
238   159 79
171   130 41
241   179 62
237   179 58
262   169 93
308   181 127
236   28 208
6,950   6,458 492
198   157 41
131   133 -2
338   367 -29
785   556 229
160   101 59
167   130 37
18   18  
1,262   1,263 -1
211   179 32
2,528   460 2,068
2,433   852 1,581
277   129 148
20,938   10,640 10,298
337   160 177
250   120 130
337   169 168
9,835   5,491 4,344
879   582 297
41,106   42,146 -1,040
9,340   4,716 4,624
21,986   22,117 -131
636   670 -34
8,213   4,881 3,332
276   167 109
2,223   1,096 1,127
708   312 396
1,061   724 337
714   248 466
453   339 114
634   379 255
30,271   30,532 -261
136   59 77
193   167 26
125   126 -1
244   198 46
3,000   2,452 548
6,408   4,052 2,356
13,742   7,513 6,229
874   922 -48
8,694   4,833 3,861
117,054   95,468 21,586
232   144 88
7,252   3,388 3,864
233   192 41
118   75 43
6   7 -1
619   554 65
997   973 24
17,367   14,704 2,663
732   727 5
2,332   2,430 -98
24,755   22,818 1,937
4,635   1,137 3,498
1,159   1,150 9
22,717   17,052 5,665
8,404   6,577 1,827
12,463   10,259 2,204
12,559   13,019 -460
129   110 19
163   167 -4
289   129 160
204   113 91
606   571 35
140   142 -2
155   142 13
1,841   704 1,137
185   199 -14
119   122 -3
492   240 252
376   169 207
408   368 40
330   305 25
448   444 4
41,516   43,355 -1,839
1,621   1,570 51
897   780 117
193   111 82
686   700 -14
202   98 104
537   293 244
140   99 41
284   118 166
263   247 16
236   224 12
1,100   1,052 48
230   144 86
130   75 55
123   80 43
135   125 10
182   168 14
36,000   37,432 -1,432
21,871   16,895 4,976
3,216   1,377 1,839
1,742   1,431 311
1,464   1,384 80
1,830   1,026 804
257   375 -118
2,314   3,212 -898
3,490   1,897 1,593
1,653   1,506 147
1,628   1,547 81
2,849   1,232 1,617
4,059   1,763 2,296
705   338 367
1,473   1,533 -60
207   227 -20
3,518   3,202 316
520   496 24
2,697   2,233 464
1,395   1,289 106
876   857 19
1,028   969 59
3,197   2,066 1,131
2,332   1,828 504
882   992 -110
1,868   1,554 314
1,099   1,081 18
1,174   1,020 154
723   775 -52
3,271   2,350 921
3,977   4,410 -433
2,877   1,005 1,872
909   973 -64
4,884   1,783 3,101
2,759   1,108 1,651
1,068   1,023 45
542   545 -3
858   932 -74
2,287   1,080 1,207
1,860   726 1,134
2,755   1,446 1,309
1,181   1,103 78
358   463 -105
1,433   1,511 -78
601   606 -5
2,497   2,626 -129
2,153   1,707 446
1,507   1,499 8
1,054   1,100 -46
2,836   1,812 1,024
1,521   1,267 254
2,745   1,635 1,110
477   467 10
1,198   537 661
2,478   1,787 691
4,679   2,503 2,176
2,330   1,287 1,043
1,331   1,188 143
786   805 -19
529   538 -9
3,143   2,364 779
2,124   1,737 387
1,180   1,338 -158
2,610   2,028 582
1,413   1,445 -32
3,993   2,966 1,027
1,220   1,737 -517
244   270 -26
4,830   2,690 2,140
115   112 3
1,503   874 629
1,169   1,059 110
4,291   2,070 2,221
1,430   1,405 25
16,741   16,600 141
3,394   4,024 -630
811   824 -13
1,173   1,206 -33
867   971 -104
2,499   2,388 111
1,360   958 402
1,299   749 550
723   560 163
637   727 -90
1,910   1,571 339
3,700   1,333 2,367
1,850   1,430 420
3,129   2,292 837
1,117   1,251 -134
2,819   1,937 882
1,503   1,345 158
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
      14,236
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       340
b       104
c       355
d       2,182
e       202
      2
      906
      62
      -17
      -7
      107
      49
      18
      66
      872
      500
      258
      485
      117
      121
      34
      118
      183
      71
      1,233
      395
      3
      1,535
      960
      95
      652
      287
      892
      -1
      -105
      505
      -21
      -7
      1
      -12
      -43
      170
      209
      58
      143
      13
      64
      148
      4,375
      18
      1,326
      69
      118
      101
      497
      79
      41
      62
      58
      93
      127
      208
      492
      41
      -2
      -29
      229
      59
      37
       
      -1
      32
      2,068
      1,581
      148
      10,298
      177
      130
      168
      4,344
      297
      -1,040
      4,624
      -131
      -34
      3,332
      109
      1,127
      396
      337
      466
      114
      255
      -261
      77
      26
      -1
      46
      548
      2,356
      6,229
      -48
      3,861
      21,586
      88
      3,864
      41
      43
      -1
      65
      24
      2,663
      5
      -98
      1,937
      3,498
      9
      5,665
      1,827
      2,204
      -460
      19
      -4
      160
      91
      35
      -2
      13
      1,137
      -14
      -3
      252
      207
      40
      25
      4
      -1,839
      51
      117
      82
      -14
      104
      244
      41
      166
      16
      12
      48
      86
      55
      43
      10
      14
      -1,432
      4,976
      1,839
      311
      80
      804
      -118
      -898
      1,593
      147
      81
      1,617
      2,296
      367
      -60
      -20
      316
      24
      464
      106
      19
      59
      1,131
      504
      -110
      314
      18
      154
      -52
      921
      -433
      1,872
      -64
      3,101
      1,651
      45
      -3
      -74
      1,207
      1,134
      1,309
      78
      -105
      -78
      -5
      -129
      446
      8
      -46
      1,024
      254
      1,110
      10
      661
      691
      2,176
      1,043
      143
      -19
      -9
      779
      387
      -158
      582
      -32
      1,027
      -517
      -26
      2,140
      3
      629
      110
      2,221
      25
      141
      -630
      -13
      -33
      -104
      111
      402
      550
      163
      -90
      339
      2,367
      420
      837
      -134
      882
      158
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 167,308
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 2,748
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 2,748
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 1,232
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 2,900
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 4,132
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,384
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet1,384 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
 
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)
    bulletVA
    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 ofbulletTRUST BANK Telephone no.bullet (804) 273-7445

    Located atbulletP O BOX 919798ORLANDOFL ZIP+4bullet328919798
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    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)
    Yes
     
    (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
     
    No
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    TRUIST BANK TRUSTEE
    12
    1,598    
    P O BOX 919798
    ORLANDO,FL328919798
    TERESA MCCONNELL DIRECTOR
    1
    0    
    17451 ALDERSHOT PL
    PURCELLVILLE,VA201323117
    BRIAN MCDONALD DIRECTOR
    1
    0    
    34889 VINTAGE PL
    ROUND HILL,VA20141
    ANDREW MICHAEL PEERY DIRECTOR
    1
    0    
    PO BOX 181
    PURCELLVILLE,VA20134
    MARGARET W VAUGHAN DIRECTOR
    1
    0    
    PO BOX 581
    PURCELLVILLE,VA20132
    DORIS L WHITMAN DIRECTOR
    1
    0    
    300 W I ST
    PURCELLVILLE,VA20132
    ALLEN CURTIS COLBY DIRECTOR
    1
    0    
    321 E LOUDOUN VALLEY DR
    PURCELLVILLE,VA20132
    WILLIAM L WHITMORE JR DIRECTOR
    1
    0    
    19360 MAGNOLIA GROVE SQ 117
    LEESBURG,VA20176
    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
    1,577,527
    b
    Average of monthly cash balances.......................
    1b
    51,156
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,628,683
    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
    1,628,683
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    24,430
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    1,604,253
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    80,213
    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
    80,213
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    2,748
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,748
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    77,465
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    2,500
    5
    Add lines 3 and 4............................
    5
    79,965
    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
    79,965
    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 79,965
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 4,312
    b From 2017...... 3,774
    c From 2018...... 1,372
    d From 2019...... 5,410
    e From 2020...... 1,599
    f Total of lines 3a through e ........ 16,467
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 75,037
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2021 distributable amount..... 75,037
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 4,928 4,928
    (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 11,539
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    11,539
    10 Analysis of line 9:
    a Excess from 2017.... 3,158
    b Excess from 2018.... 1,372
    c Excess from 2019.... 5,410
    d Excess from 2020.... 1,599
    e Excess from 2021....  
    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 e-mail address of the person to whom applications should be addressed:
    BOARD OF DIRECTORS CLARENCE ROBEY
    PO BOX 181
    PURCELLVILLE,VA22132
    (540) 338-6621
    bThe form in which applications should be submitted and information and materials they should include:
    WRITTEN EXPLANATION OF WHAT THE DONATION WILL BE USED FOR AND A BRIEF DESCRIPTION OF THE CHARITABLE ORGANIZATION REQUESTING THE FUNDS
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    KYLIE LYNN BUDD
    C/O VA TECH
    17621 TEDLER CIRCLE ROUND
    HILL,VA20141
    NONE I SCHOLARSHIP 2,000
    LOUDOUN LYRIC OPERA
    PO BOX 3145
    LEESBURG,VA20177
    NONE PC GENERAL 1,000
    TREE OF LIFE MINISTRIES
    210 N 21ST ST UNIT D
    PURCELLVILLE,VA20132
    NONE PC GENERAL 4,000
    HARMONY MIDDLE SCHOOL
    38174 W COLONIAL HWY
    HAMILTON,VA20158
    NONE PC GENERAL 1,500
    ST FRANCIS DE SALES CATHOLIC CHURCH
    37730 ST FRANCIS CT
    PURCELLVILLE,VA20132
    NONE PC GENERAL 1,500
    ELLEE PYLE
    C/O VA TECH
    18 MULBERRY ST
    ROUND HILL,VA20141
    NONE I SCHOLARSHIP 2,000
    JASMIN RUIZ
    19238 BLUERIDGE MOUNTAIN RD
    BLUEMONT,VA20135
    NONE I SCHOLARSHIP 2,000
    KAITLYN BURNS
    C/O GMU
    605 KINVARRA PLACE
    PURCELLVILLE,VA20132
    NONE I SCHOLARSHIP 2,000
    CARISSA VERGERES
    50 EISENTOWN DR
    LOVETTSVILLE,VA20180
    NONE I SCHOLARSHIP 2,000
    ABIGAIL TAYLOR
    C/O VA TECH
    33457 ADELAIDES LANE
    BLUEMONT,VA20135
    NONE I SCHOLARSHIP 2,000
    REAGAN BRILL
    C/O UVA
    236 EAST KING JAMES ST
    PURCELLVILLE,VA20132
    NONE I SCHOLARSHIP 2,000
    JAYLEN RENEE WASHINGTON
    C/O HOWARD UNIV
    17237 MAGIC MTN DR
    ROUND HILL,VA20141
    NONE I SCHOLARSHIP 2,000
    PELAGIE HILKIJA KY
    C/O VA TECH
    808 DUNRAVEN WAY
    PURCELLVILLE,VA20132
    NONE I SCHOLARSHIP 2,000
    WOODGROVE HIGH SCHOOL
    36811 ALLDER SCHOOL ROAD
    PURCELLVILLE,VA20132
    NONE EXEMPT COMMUNITY 3,000
    PURCEVILLE LIBRARY
    ADVISORY BOARD
    PO BOX 613
    PURCEVILLE,VA20134
    NONE PUBLIC LIBRARY ENHANCEMENT 4,000
    TRADEUP LOUDOUN
    140 S ORCHARD RD
    PURCELLVILLE,VA20132
    NONE PC GENERAL 1,500
    CATHERINE SLUPE
    C/O VA TECH
    720 WINTERGREEN DRIVE
    PURCELLVILLE,VA20132
    NONE I SCHOLARSHIP 2,000
    EMERICK ELEMENTARY SCHOOL
    440 NURSERY AVE
    PURCELLVILLE,VA20132
    NONE PUBLIC GENERAL FUNDING 1,500
    KENNETH W CULBERT ELEMENTARY
    SCHOOL
    38180 W COLONIAL HWY
    HAMILTON,VA20158
    NONE EXEMPT COMMUNITY 1,500
    ROOTS GROW WINGS
    10144 SANDS RD
    PURCELLVILLE,VA20132
    NONE PC GENERAL 2,500
    BLUE RIDGE MIDDLE SCHOOL
    551 EAST A STREET
    PURCELLVILLE,VA20132
    NONE EXEMPT COMMUNITY 1,500
    PURCELLVILLE PUBLIC SAFETY
    CENTER
    500 N MAPLE AVE
    PURCELLVILLE,VA20132
    NONE PC GENERAL 5,000
    PURCELLVILLE BAPTIST CHURCH
    PO BOX 366
    PURCELLVILLE,VA20134
    NONE PC GENERAL 1,500
    FRIENDS OF FRANKLIN PARK ARTS CENTER
    PO BOX 2127
    PURCELLVILLE,VA20134
    NONE PC GENERAL 2,000
    AGAPE UNITED METHODIST CHURCH
    PO BOX 188
    PURCELLVILLE,VA20134
    NONE PC GENERAL 1,500
    ST ANDREWS PRESBYTERIAN CHURCH
    711 W MAIN ST
    PURCELLVILLE,VA20132
    NONE PC GENERAL 3,000
    BETHANY METHODIST CHURCH
    PO BOX 487
    PURCELLVILLE,VA20134
    NONE PC GENERAL 1,500
    CALEN AUBERTIN
    C/O CWRU
    100 S SAINT PAUL ST
    HAMILTON,VA20158
    NONE I SCHOLARSHIP 2,000
    COURTNEY FIRETTI FRYE
    C/O UNIV OF VA
    6800 LAKE POINTE DR
    MINERAL,VA23117
    NONE I SCHOLARSHIP 2,000
    NOAH GALLAGHER
    C/O VA TECH
    17398 HAMILTON STATION RD
    HAMILTON,VA20158
    NONE I SCHOLARSHIP 2,000
    CHURCH OF CHRIST
    604 YAXLEY DR
    PURCELLVILLE,VA20132
    NONE PC GENERAL 1,500
    KETOCTIN BAPTIST CHURCH
    AND CEMETERY
    22 E LOUDOUN ST
    ROUND HILL,VA20141
    NONE PC GENERAL 1,500
    LOUDOUN VALLEY HIGH SCHOOL
    340 N MAPLE AVE
    PURCELLVILLE,VA20132
    NONE EXEMPT GENERAL FUNDING 1,500
    ST PETERS EPISCOPAL CHURCH
    PO BOX 546
    PURCELLVILLE,VA20134
    NONE EXEMPT GENERAL FUNDING 1,500
    MOUNTAIN VIEW ELEMENTARY SCHOOL
    36803 ALLDER SCHOOL ROAD
    PURCELLVILLE,VA20132
    NONE PUBLIC GENERAL FUNDING 1,500
    Total .................................bullet 3a 71,500
    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 ...........
        14 184  
    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 ............
        18 167,308  
    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) ..   198,945  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    198,945
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 650     650

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Name of Bond End of Year Book Value End of Year Fair Market Value
    258620103 DOUBLELINE TOTAL RET    
    64128K868 NEUBERGER BERMAN HIG    
    722005816 PIMCO INVESTMENT GRA    
    693391104 PIMCO REAL RETURN FU    
    92206C755 VANGUARD MORTGAGE BA    
    25264S866 DIAMOND HILL CORP CR    
    258620566 DOUBLELINE TOTAL RET 78,974 77,528
    46429B267 ISHARES US TREASURY 178,484 172,833
    921937827 VANGUARD SHORT TERM 52,864 51,893

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Name of Stock End of Year Book Value End of Year Fair Market Value
    002824100 ABBOTT LABS 470 1,830
    00287Y109 ABBVIE INC 688 1,625
    02079K107 ALPHABET INC CL C 6,298 8,681
    02079K305 ALPHABET INC CL A 3,374 5,794
    023135106 AMAZON.COM INC 8,933 13,337
    032654105 ANALOG DEVICES INC 741 1,582
    036752103 ANTHEM INC 339 1,854
    052769106 AUTODESK INC COMMON    
    053015103 AUTOMATIC DATA PROCE    
    097023105 THE BOEING COMPANY C    
    126650100 CVS HEALTH CORP 843 1,547
    156782104 CERNER CORP COMMON    
    17275R102 CISCO SYSTEMS INC 605 1,141
    172967424 CITIGROUP INC COMMON    
    191216100 THE COCA-COLA CO COM    
    194162103 COLGATE PALMOLIVE CO    
    219350105 CORNING INC COMMON    
    22822V101 CROWN CASTLE INTL CO    
    244199105 DEERE & COMPANY COMM    
    254687106 DISNEY WALT CO NEW 3,209 3,872
    254709108 DISCOVER FINANCIAL S    
    26875P101 EOG RESOURCES INC CO    
    29261A100 ENCOMPASS HEALTH COR    
    302130109 EXPEDITORS INTL WASH    
    30303M102 META PLATFORMS INC C 5,561 8,745
    303075105 FACTSET RESEARCH SYS    
    38141G104 GOLDMAN SACHS GROUP 490 1,148
    437076102 HOME DEPOT INC 4,554 7,885
    438516106 HONEYWELL INTERNATIO 2,861 4,587
    452327109 ILLUMINA INC COM    
    46120E602 INTUITIVE SURGICAL I 3,233 3,952
    478160104 JOHNSON & JOHNSON 3,688 4,961
    502431109 L3HARRIS TECHNOLOGIE    
    58933Y105 MERCK & CO INC 3,371 4,445
    594918104 MICROSOFT CORP 2,884 13,116
    61174X109 MONSTER BEVERAGE COR    
    620076307 MOTOROLA SOLUTIONS, 817 1,630
    631103108 NASDAQ INC COMMON    
    665859104 NORTHERN TRUST GROUP    
    67066G104 NVIDIA CORP 3,240 6,176
    68389X105 ORACLE CORP COMMON    
    713448108 PEPSICO INC 631 1,390
    718546104 PHILLIPS 66 COMMON    
    747525103 QUALCOMM INC 2,550 4,572
    75886F107 REGENERON PHARMACUET    
    784117103 SEI INVESTMENTS COMP    
    79466L302 SALESFORCE.COM INC I    
    855244109 STARBUCKS CORP COMMO    
    902494103 TYSON FOODS INC CL A 602 1,220
    911312106 UNITED PARCEL SERVIC    
    92220P105 VARIAN MED SYS INC C    
    92343V104 VERIZON COMMUNICATIO    
    92826C839 VISA INC CL A 1,411 4,984
    98138H101 WORKDAY INC COMMON    
    988498101 YUM! BRANDS INC COMM    
    98850P109 YUM CHINA HOLDINGS I    
    01609W102 ALIBABA GROUP HOLDIN    
    66987V109 NOVARTIS AG SPONSORE 2,141 2,799
    670100205 NOVO-NORDISK A S ADR    
    76131D103 RESTAURANT BRANDS IN    
    771195104 ROCHE HOLDING LTD AD    
    806857108 SCHLUMBERGER LTD COM    
    G02602103 AMDOCS LTD SC COMMON    
    G1151C101 ACCENTURE PLC CL A 373 2,073
    G5960L103 MEDTRONIC PLC COMMON    
    H1467J104 CHUBB LTD 862 1,546
    00724F101 ADOBE INC 5,787 5,104
    031162100 AMGEN INC 2,721 2,925
    037833100 APPLE INC 5,073 5,327
    038222105 APPLIED MATERIALS IN 4,983 5,193
    060505104 BANK OF AMERICA CORP 5,971 5,962
    09247X101 BLACKROCK INC 3,647 3,662
    127097103 COTERRA ENERGY INC 2,618 2,926
    14040H105 CAPITAL ONE FINANCIA 3,995 3,917
    142339100 CARLISLE COS INC 3,388 3,474
    166764100 CHEVRON CORP 2,934 2,934
    174610105 CITIZENS FINANCIAL G 3,111 3,071
    22052L104 CORTEVA INC 2,146 2,128
    22160K105 COSTCO WHOLESALE COR 4,844 5,109
    253393102 DICKS SPORTING GOODS 1,447 2,185
    260557103 DOW INC 1,470 1,531
    26614N102 DUPONT DE NEMOURS IN 3,218 3,393
    345370860 FORD MOTOR CO DEL 3,438 3,635
    45687V106 INGERSOLL-RAND INC 4,332 4,517
    458140100 INTEL CORP 4,973 4,687
    46266C105 IQVIA HOLDINGS INC 3,477 3,668
    46625H100 JP MORGAN CHASE & CO 5,325 5,226
    499049104 KNIGHT-SWIFT TRANSN 3,878 3,900
    571748102 MARSH & MCLENNAN COS 2,262 3,129
    617446448 MORGAN STANLEY 3,516 3,436
    65339F101 NEXTERA ENERGY INC 2,686 2,801
    654106103 NIKE INC-CLASS B 5,305 5,167
    693475105 PNC FINL SVCS GROUP 4,436 4,411
    723787107 PIONEER NATURAL RESO 3,476 3,456
    74762E102 QUANTA SERVICES INC 3,910 3,898
    883556102 THERMO FISHER SCIENT 6,332 6,672
    892356106 TRACTOR SUPPLY CO 3,901 4,056
    907818108 UNION PAC CORP 3,709 3,779
    91324P102 UNITEDHEALTH GROUP I 6,468 7,030
    92532F100 VERTEX PHARMACEUTICA 2,108 2,416
    931142103 WALMART INC 3,909 4,051
    983919101 XILINX INC 3,689 3,605
    G6564A105 NOMAD FOODS LTD 2,257 2,361
    G8994E103 TRANE TECHNOLOGIES P 3,507 3,637

    TY 2021 InvestmentsOtherSchedule2
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    04314H857 ARTISAN INTERNATIONA AT COST 60,979 61,515
    277902235 EATON VANCE ATLANTA AT COST 31,524 38,657
    61760X786 MORGAN STANLEY GLOBA      
    87283A102 T ROWE PRICE QM US S      
    89154X526 TOUCHSTONE MID CAP G      
    89155H389 TOUCHSTONE MID CAP V      
    921075438 VAN ECK EMERGING MAR      
    922908710 VANGUARD 500 INDEX F AT COST 182,118 301,481
    92828N668 VIRTUS KAR SMALL CAP      
    00143W859 INVESCO DEVELOPING M AT COST 11,542 17,855
    00770G847 JOHCM INTERNATIONAL      
    14949P208 CAUSEWAY INTERNATL V      
    412295107 HARDING LOEVNER INTE      
    52106N889 LAZARD EMERGING MKTS      
    921943809 VANGUARD DEVELOPED M      
    464288273 ISHARES MSCI EAFE SM      
    464288620 ISHARES BROAD USD IN AT COST 61,898 61,174
    464288646 ISHARES SHORT-TERM C      
    46429B267 ISHARES CORE US TREA      
    464285105 ISHARES COMEX GOLD T      
    09250J734 BLACKROCK EVENT DRIV AT COST 49,353 47,774
    22822V101 CROWN CASTLE INTERNA AT COST 3,308 5,010
    253868103 DIGITAL REALTY TRUST AT COST 2,161 2,299
    27826A730 EATON VANCE FLOATING AT COST 34,788 34,761
    46137V357 INVESCO S&P 500 EQUA AT COST 69,829 74,540
    464287804 ISHARES CORE S&P SMA AT COST 54,303 56,224
    46653M849 JOHCM INTERNATIONAL AT COST 63,288 69,630
    52472T775 BRANDYWINEGLOBAL COR AT COST 69,773 67,661
    722005816 PIMCO INVESTMENT GRA AT COST 84,920 82,655
    92206C755 VANGUARD MORTGAGE-BA AT COST 86,383 84,477
    922908553 VANGUARD REAL ESTATE AT COST 30,963 34,339

    TY 2021 LegalFeesSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES - INCOME (ALLOCABLE 225     225


    TY 2021 OtherDecreasesSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Description Amount
    2021 TRANSACTIONS POSTED IN 2022 672
    ROUNDING 8


    TY 2021 OtherExpensesSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADR FEES 4 4   0
    MISC OFFICE EXPENSE 221 0   221
    POST OFFICE EXPENSES 139 0   139
    SECRETARIAL ASSISTANCE 250 0   250
    ANNUAL ACCOUNTING 1,214 0   1,214


    TY 2021 OtherIncreasesSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Description Amount
    2020 TRANSACTIONS POSTED IN 2021 611
    MUTUAL FUND EARNINGS 10
    RECOVERY OF PRIOR YEAR GRANTS 2,500


    TY 2021 TaxesSchedule
    Name:
    CLARENCE L ROBEY CHARITABLE TRUST
    EIN:
    54-6138649
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 42 42   0
    FEDERAL TAX PAYMENT - PRIOR YE 856 0   0
    FEDERAL ESTIMATES - PRINCIPAL 637 0   0
    FOREIGN TAXES ON QUALIFIED FOR 95 95   0
    FOREIGN TAXES ON NONQUALIFIED 9 9   0