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 07-01-2021 , and ending 06-30-2022
Name of foundation
JEAN JACK AND MILDRED LEMONS CHARITABLE TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 0634
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MILWAUKEE, WI532010634
A Employer identification number

43-6328116
B Telephone number (see instructions)

(314) 418-2643
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$7,983,011J 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... 185,922 185,922  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 133,165
b Gross sales price for all assets on line 6a 2,438,239
7 Capital gain net income (from Part IV, line 2)... 133,165
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)....... Click to see attachment 41 41  
12 Total. Add lines 1 through 11........ 319,128 319,128  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 82,113 73,902   8,211
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 1,500 0 0 1,500
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 15,719 2,153   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).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 99,332 76,055 0 9,711
25 Contributions, gifts, grants paid....... 475,434 475,434
26 Total expenses and disbursements. Add lines 24 and 25 574,766 76,055 0 485,145
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -255,638
b Net investment income (if negative, enter -0-) 243,073
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 87,012 117,351 117,351
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)....... 5,186,149 Click to see attachment1,757,512 2,148,649
c Investments—corporate bonds (attach schedule)....... 1,656,011    
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 952,649 Click to see attachment5,751,305 5,717,011
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) 7,881,821 7,626,168 7,983,011
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........ 7,881,821 7,626,168
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)..... 7,881,821 7,626,168
30 Total liabilities and net assets/fund balances (see instructions). 7,881,821 7,626,168
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
7,881,821
2
Enter amount from Part I, line 27a .....................
2
-255,638
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
7,626,183
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
15
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
7,626,168
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 45957.252 AMERICAN CENTURY HIGH INCOME FD Y CL     2021-07-13
b 348.7983 STONE RIDGE REINSUR RISK PRE   2018-05-14 2021-08-20
c 1. BANK OF NY MTN 2.600% 2/07/22   1911-11-11 2021-10-01
d 1. ORBITAL ATK INC   1911-11-11 2021-10-22
e 101.5317 STONE RIDGE REINSUR RISK PRE   2018-05-14 2021-12-03
1. TRINITY INDS INC   1911-11-11 2021-12-09
78. AMERICAN TOWER CORP     2022-01-14
2563. ARTISAN HIGH INCOME FUND   2021-07-13 2022-01-14
126. COSTCO WHOLESALE CORP COM     2022-01-14
118. EDWARDS LIFESCIENCES CORP COM   2020-05-04 2022-01-14
47. INTUIT INC COMMON STOCK   2020-05-04 2022-01-14
4680. ISHARES MIDCAP INDEX FD     2022-01-14
460. ISHARES RUSSELL 2000 INDEX FUND   2020-07-21 2022-01-14
133. JP MORGAN CHASE & CO COM   2020-06-18 2022-01-14
40. NVIDIA CORP   2021-06-18 2022-01-14
345. SCHWAB US REIT ETF   2019-05-22 2022-01-14
86. TARGET CORP     2022-01-14
285. TRANSUNION     2022-01-14
47. TYLER TECHNOLOGIES INC     2022-01-14
210.1008 STONE RIDGE REINSUR RISK PRE   2018-05-14 2022-02-25
6. ALPHABET INC CL A   2022-01-14 2022-03-08
20. AMAZON COM INC COM   2021-06-18 2022-03-08
230. APPLE COMPUTER INC COM   2022-01-14 2022-03-08
135. APPLE COMPUTER INC COM   2020-05-04 2022-03-08
3013. ARTISAN HIGH INCOME FUND   2021-07-13 2022-03-08
339. BANK OF AMERICA CORP   2020-06-18 2022-03-08
171. CENTENE CORP COM   2020-06-18 2022-03-08
229. COUPA SOFTWARE INC     2022-03-08
515. EXACT SCIENCES CORPORATION   2022-01-14 2022-03-08
658. ISHARES CORE U.S. AGGREGATE BOND ETF   2021-06-18 2022-03-08
265. ISHARES RUSSELL MIDCAP VALUE ETF   2019-09-04 2022-03-08
300. ISHARES MIDCAP INDEX FD   2019-05-22 2022-03-08
538. MARATHON PETROLEUM CORP     2022-03-08
281. MATCH GROUP INC NEW   2020-02-19 2022-03-08
101. MATCH GROUP INC NEW   2022-01-14 2022-03-08
110. MICROSOFT CORP COM   2019-09-04 2022-03-08
1582. PGIM TOTAL RETURN BOND CL R6   2021-06-18 2022-03-08
22. ROPER INDS INC   2021-06-18 2022-03-08
135. SCHWAB CHARLES CORP COM NEW   2022-01-14 2022-03-08
382. SCHWAB US REIT ETF   2019-05-22 2022-03-08
19. TRANSDIGM GROUP INC   2022-01-14 2022-03-08
69. WAL MART STORES INC COM   2022-01-14 2022-03-08
115. MEDTRONIC PLC   2022-01-14 2022-03-08
63. ISHARES RUSSELL 2000 INDEX FUND   2020-07-21 2022-03-09
47. ALBEMARLE CORP   2022-01-14 2022-06-14
25. ALBEMARLE CORP   2020-01-23 2022-06-14
44. AMERICAN TOWER CORP   2019-09-04 2022-06-14
103. APPLE COMPUTER INC COM   2020-05-04 2022-06-14
170. CENTENE CORP COM   2022-01-14 2022-06-14
486. CENTENE CORP COM     2022-06-14
19. COSTCO WHOLESALE CORP COM   2018-03-27 2022-06-14
182. COUPA SOFTWARE INC   2022-01-14 2022-06-14
50. ECOLAB INC COM   2022-01-14 2022-06-14
21. ECOLAB INC COM   2020-01-23 2022-06-14
44. GILEAD SCIENCES INC COM   2020-05-04 2022-06-14
172. GILEAD SCIENCES INC COM   2022-01-14 2022-06-14
288. ISHARES MSCI EAFE VALUE ETF   2021-06-18 2022-06-14
3234. ISHARES CORE MSCI EAFE ETF   2022-03-08 2022-06-14
1341. ISHARES CORE MSCI EAFE ETF   2019-05-22 2022-06-14
112. JP MORGAN CHASE & CO COM   2020-06-18 2022-06-14
1163.724 MAINSTAY CBRE GLOBAL INFRASTRUCTURE   2022-03-09 2022-06-14
97. MARATHON PETROLEUM CORP   2020-01-23 2022-06-14
35. MASTERCARD INC   2022-01-14 2022-06-14
447. MATCH GROUP INC NEW     2022-06-14
59. MICROSOFT CORP COM   2019-09-04 2022-06-14
516. MICRON TECHNOLOGY INC   2022-01-14 2022-06-14
55. NVIDIA CORP   2021-06-18 2022-06-14
118. PAYPAL HOLDINGS INC   2022-01-14 2022-06-14
219. RINGCENTRAL INC     2022-06-14
69. SALESFORCE COM INC   2022-01-14 2022-06-14
246. TELADOC INC     2022-06-14
339. TELADOC INC   2021-06-18 2022-06-14
CAPITAL GAIN DIVIDENDS P    
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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 454,517   425,285 29,232
b 14,078   15,818 -1,740
c 32     32
d 80     80
e 3,930   4,604 -674
52     52
19,363   19,598 -235
25,527   26,399 -872
63,587   30,511 33,076
13,843   8,190 5,653
25,855   12,521 13,334
371,293   263,021 108,272
97,607   68,310 29,297
21,091   13,240 7,851
10,740   7,660 3,080
17,055   15,466 1,589
18,953   10,247 8,706
30,761   24,144 6,617
22,416   15,218 7,198
8,177   9,528 -1,351
15,181   16,751 -1,570
54,108   69,998 -15,890
36,293   39,589 -3,296
21,302   9,801 11,501
28,985   31,034 -2,049
12,995   8,597 4,398
14,057   10,899 3,158
24,457   47,098 -22,641
36,484   38,843 -2,359
71,827   75,828 -4,001
29,763   23,096 6,667
21,670   16,298 5,372
41,262   31,629 9,633
24,051   20,825 3,226
8,645   12,115 -3,470
30,085   15,107 14,978
21,594   23,271 -1,677
9,780   10,024 -244
10,180   12,816 -2,636
18,059   17,124 935
11,301   12,112 -811
9,704   10,015 -311
12,046   12,422 -376
12,567   9,355 3,212
10,585   10,877 -292
5,630   2,043 3,587
10,370   10,618 -248
13,616   7,478 6,138
12,856   13,511 -655
36,753   30,871 5,882
8,613   3,550 5,063
9,712   24,953 -15,241
7,526   10,828 -3,302
3,161   4,150 -989
2,533   3,532 -999
9,901   12,300 -2,399
12,582   14,933 -2,351
187,972   205,724 -17,752
77,944   81,268 -3,324
12,833   11,149 1,684
14,221   15,187 -966
9,992   5,405 4,587
11,245   12,960 -1,715
32,978   33,098 -120
14,374   8,103 6,271
30,292   49,730 -19,438
8,696   10,532 -1,836
8,546   20,987 -12,441
10,817   33,854 -23,037
11,304   15,906 -4,602
7,107   53,397 -46,290
9,793   53,723 -43,930
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
      50,934
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       29,232
b       -1,740
c       32
d       80
e       -674
      52
      -235
      -872
      33,076
      5,653
      13,334
      108,272
      29,297
      7,851
      3,080
      1,589
      8,706
      6,617
      7,198
      -1,351
      -1,570
      -15,890
      -3,296
      11,501
      -2,049
      4,398
      3,158
      -22,641
      -2,359
      -4,001
      6,667
      5,372
      9,633
      3,226
      -3,470
      14,978
      -1,677
      -244
      -2,636
      935
      -811
      -311
      -376
      3,212
      -292
      3,587
      -248
      6,138
      -655
      5,882
      5,063
      -15,241
      -3,302
      -989
      -999
      -2,399
      -2,351
      -17,752
      -3,324
      1,684
      -966
      4,587
      -1,715
      -120
      6,271
      -19,438
      -1,836
      -12,441
      -23,037
      -4,602
      -46,290
      -43,930
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
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 2 133,165
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 3,379
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 3,379
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 8,284
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 8,284
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 4,905
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet3,380 RefundedBullet 11 1,525
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)
    bulletMO
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletUS BANK NA Telephone no.bullet (417) 625-3202

    Located atbulletPO BOX 387ST LOUISMO ZIP+4bullet63166
    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
    US BANK TRUSTEE
    1     		82,113    
    PO BOX 387
    ST LOUIS,MO63166
    DR DENNIS SMITH GRANT SELECTION
    0     		0    
    2700 MCCLELLAND BLVD
    JOPLIN,MO64804
    DR NORM RIDDER GRANT SELECTION
    0     		0    
    2700 MCCLELLAND BLVD
    JOPLIN,MO64804
    DR MELINDA MOSS GRANT SELECTION
    0     		0    
    2700 MCCLELLAND BLVD
    JOPLIN,MO64804
    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
    10,019,002
    b
    Average of monthly cash balances.......................
    1b
    115,996
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    10,134,998
    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
    10,134,998
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    152,025
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    9,982,973
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    499,149
    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
    499,149
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    3,379
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,379
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    495,770
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    495,770
    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
    495,770
    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 7 495,770
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 55,100
    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$ 485,145
    a Applied to 2020, but not more than line 2a 55,100
    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..... 430,045
    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 ..........     		65,725
    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
    ALLIANCE OF SWMO
    1027 S MAIN ST 7
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 25,000
    AMERICAN RED CROSS
    410 S JACKSON AVE
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 10,000
    AREA AGENCY ON AGING REGION X
    531 E 15TH ST
    JOPLIN,MO64804     		NONE PC GENERAL OPERATING 3,959
    CHILDREN'S HAVEN OF SW MISSOURI
    711 S PICHER AVE
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 15,000
    CHILDREN'S MERCY HOSPITAL
    2401 GILLHAM ROAD
    KANSAS CITY,MO64108     		NONE PC GENERAL OPERATING 15,000
    COLLEGE HEIGHTS CHRISTIAN SCHOOL
    4311 NEWMAN RD
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 10,000
    COMMUNITY CLINIC
    701 S JOPLIN AVE
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 45,000
    CONNECT2CULTURE
    407 S PENNSYLVANIA AVE
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 15,000
    JOPLIN AREA CATHOLIC SCHOOLS
    931 BYERLY AVE
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 23,992
    JOPLIN AREA HABITAT FOR HUMANITY
    5201 N MAIN ST
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 5,000
    JOPLIN ASSOCIATION FOR THE BLIND
    311 S SCHIFFERDECKER AVE
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 8,000
    JOPLIN FAMILY Y
    3404 W MCINTOSH CIR DR
    JOPLIN,MO64804     		NONE PC GENERAL OPERATING 15,000
    JOPLIN HISTORICAL & MINERAL MUSEUM
    504 SCHIFFERDECKER AVE
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 13,000
    JOPLIN NALA READ
    123 S MAIN ST
    JOPLIN,MO64802     		NONE PC GENERAL OPERATING 8,900
    JOPLIN SCHOOLS
    310 W 8TH STREET
    JOPLIN,MO64802     		NONE PC GENERAL OPERATING 5,000
    MERCY HEALTH FOUNDATION JOPLIN
    100 MERCY WAY
    JOPLIN,MO64804     		NONE PC GENERAL OPERATING 15,000
    MISSOURI SOUTHERN FOUNDATION
    3950 E NEWMAN ROAD
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 10,000
    OZARKS PUBLIC TELEVISION
    403 S MAIN STREET
    JOPLIN,MO64802     		NONE PC GENERAL OPERATING 6,000
    REGIONAL MEDICAL SCHOOL ALLIANCE
    320 EAST 4TH STREET
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 30,000
    BRIGHT FUTURES - JOPLIN FUND
    310 WEST 8TH STREET PO BOX 128
    JOPLIN,MO64802     		NONE PC GENERAL OPERATING 15,000
    WATERED GARDENS
    531 KENTUCKY AVE
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 4,500
    JOPLIN PUBLIC LIBRARY
    1901 E 20TH STREET
    JOPLIN,MO64804     		NONE PC GENERAL OPERATING 2,000
    REGIONAL HEALTH AND WELFARE
    PO BOX 8182
    JOPLIN,MO64802     		NONE PC GENERAL OPERATING 8,500
    BUILDING BRIDGES
    2423 W 26TH ST
    JOPLIN,MO64804     		NONE PC GENERAL OPERATING 5,000
    OZARK TRAILS COUNCIL BOY SCOUTS OF AMERI
    1616 S EASTGATE AVE
    SPRINGFIELD,MO65809     		NONE PC GENERAL OPERATING 2,250
    CARTERVILLE CEMETERY ASSOCIATION
    118 E MAIN
    CARTERVILLE,MO64835     		NONE PC GENERAL OPERATING 26,500
    BARNABAS FOUNDATION
    PO BOX 3200
    SPRINGFIELD,MO65808     		NONE PC GENERAL OPERATING 5,000
    CHILDREN'S CENTER OF SW MISSOURI
    921 EAST 34TH STREET SUITE A
    JOPLIN,MO64804     		NONE PC GENERAL OPERATING 10,000
    JASPER COUNTY CASA
    420 GRAND AVENUE STE 159B
    JOPLIN,MO64801     		NONE PC GENERAL OPERATING 25,000
    WILDCAT GLADES FRIENDS GROUP
    PO BOX 3063
    JOPLIN,MO64803     		NONE PC GENERAL OPERATING 7,000
    AMERICAN CANCER SOCIETY
    PO BOX 28566
    ST LOUIS,MO63146     		NONE PC GENERAL OPERATIONS 10,000
    CREATIVE LEARNING ALLIANCE
    PO BOX 3655
    JOPLIN,MO64803     		NONE PC GENERAL OPERATIONS 33,333
    DOWNTOWN JOPLIN
    931 E 4TH ST
    JOPLIN,MO64801     		NONE PC GENERAL OPERATIONS 15,000
    LOVING GRACE
    1408 EUCLID AVE
    JOPLIN,MO64801     		NONE PC GENERAL OPERATIONS 7,500
    PROMUSICA
    402 S MAIN ST STE 502
    JOPLIN,MO64801     		NONE PC GENERAL OPERATIONS 5,000
    BOYS & GIRLS CLUB
    317 COMINGO AVENUE
    JOPLIN,MO64801     		NONE PC GENERAL OPERATIONS 15,000
    Total .................................bullet 3a 475,434
    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 ............     		    18 133,165  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aOTHER INCOME     		    1 41  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   319,128  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    319,128
    (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:
    JEAN JACK AND MILDRED LEMONS CHARITABLE TRUST
    EIN:
    43-6328116
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,500     1,500

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    JEAN JACK AND MILDRED LEMONS CHARITABLE TRUST
    EIN:
    43-6328116
    Name of Bond End of Year Book Value End of Year Fair Market Value
    46625HHS2 JPMORGAN CHASE    
    024932600 AMER CENT DIVERSIFI    
    72369L107 PIONEER ILS INTERVAL    
    861729101 STONE RIDGE REINSUR    
    024932154 AMERICAN CENTURY HIG    
    464287226 ISHARES CORE U.S. AG    
    258620103 DOUBLELINE TOTAL RET    

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    JEAN JACK AND MILDRED LEMONS CHARITABLE TRUST
    EIN:
    43-6328116
    Name of Stock End of Year Book Value End of Year Fair Market Value
    893641100 TRANSDIGM GROUP INC 39,635 55,814
    H1467J104 CHUBB LTD 7,964 15,726
    03027X100 AMERICAN TOWER CORP 31,961 48,307
    02079K305 ALPHABET INC CL A 36,041 82,812
    78409V104 S P GLOBAL INC 22,492 29,324
    931142103 WAL MART STORES INC 47,138 60,547
    037833100 APPLE INC 58,384 155,587
    57636Q104 MASTERCARD INC 45,417 50,792
    56585A102 MARATHON PETROLEUM C 53,112 92,404
    023135106 AMAZON.COM INC 106,156 104,086
    46625H100 J P MORGAN CHASE CO 44,662 53,715
    375558103 GILEAD SCIENCES INC 53,056 51,364
    060505104 BANK OF AMERICA CORP 42,501 54,228
    91324P102 UNITED HEALTH GROUP 15,521 45,713
    N59465109 MYLAN NV    
    594918104 MICROSOFT CORP 54,280 173,360
    848637104 SPLUNK INC    
    22160K105 COSTCO WHSL CORP 25,260 38,342
    30303M102 FACEBOOK INC A 63,935 50,471
    127097103 CABOT OIL GAS CORP C    
    808513105 SCHWAB CHARLES CORP 36,818 64,949
    28176E108 EDWARDS LIFESCIENCES 8,011 14,929
    166764100 CHEVRON CORPORATION    
    902252105 TYLER TECHNOLOGIES I 10,237 13,299
    81762P102 SERVICENOW INC 30,758 32,811
    15135B101 CENTENE CORP COM 30,105 51,189
    012653101 ALBEMARLE CORP 36,453 64,784
    808524847 SCHWAB US REIT ETF    
    464287499 ISHARES RUSSELL MID    
    46432F842 ISHARES CORE MSCI EA    
    464288877 ISHARES MSCI EAFE VA    
    46434G103 ISHARES CORE MSCI EM    
    024524217 AMERICAN BEACON STEP    
    76680R206 RINGCENTRAL INC    
    70450Y103 PAYPAL HOLDINGS INC 59,289 34,431
    G6095L109 APTIV PLC 19,841 20,842
    285512109 ELECTRONIC ARTS INC    
    89400J107 TRANSUNION 36,046 38,395
    464287473 ISHARES RUSSELL MIDC    
    595112103 MICRON TECHNOLOGY IN 18,512 21,117
    524686524 CLEARBRIDGE INTERNAT    
    4812A1696 JPMORGAN TR I US SMA    
    097023105 BOEING CO    
    110122108 BRISTOL MYERS SQUIBB    
    278865100 ECOLAB INC 51,825 40,900
    776696106 ROPER INDS INC 56,355 54,856
    87612E106 TARGET CORP 33,534 42,087
    110122157 BRISTOL MYERS SQUIBB    
    G5960L103 MEDTRONIC PLC 86,052 75,480
    461202103 INTUIT INC 16,517 23,897
    217204106 COPART INC COM 38,068 48,028
    88339J105 TRADE DESK INC THE C 17,673 26,307
    87918A105 TELADOC INC    
    57665R106 MATCH GROUP INC    
    79466L302 SALESFORCE COM INC 49,067 47,366
    22266L106 COUPA SOFTWARE INC    
    92556V106 VIATRIS INC 73,803 49,795
    009066101 AIRBNB INC CL A 55,877 32,514
    57667L107 MATCH GROUP INC NEW    
    67066G104 NVIDIA CORP 44,619 35,320
    437076102 HOME DEPOT INC 33,199 30,170
    852234103 SQUARE INC A 20,466 9,588
    30063P105 EXACT SCIENCES CORPO 26,926 14,062
    65339F101 NEXTERA ENERGY INC 37,591 36,484
    98954M101 ZILLOW GROUP INC 30,572 18,164
    00724F101 ADOBE SYS INC 51,783 44,293

    TY 2021 InvestmentsOtherSchedule2
    Name:
    JEAN JACK AND MILDRED LEMONS CHARITABLE TRUST
    EIN:
    43-6328116
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    97MSCMTE9 PARTNERS GRP PE MAST      
    74440B884 PGIM TOTAL RETURN BO AT COST 392,699 336,508
    464287655 ISHARES RUSSELL 2000 AT COST 354,170 403,924
    46434G103 ISHARES CORE MSCI EM AT COST 594,879 582,784
    464287499 ISHARES RUSSELL MID AT COST 407,895 506,158
    464287457 ISHARES 1 3 YEAR TRE AT COST 82,050 82,790
    04314H568 ARTISAN HIGH INCOME AT COST 397,084 333,474
    464288877 ISHARES MSCI EAFE VA AT COST 379,793 330,231
    464287226 ISHARES CORE U.S. AG AT COST 864,152 776,225
    464287473 ISHARES RUSSELL MIDC AT COST 303,346 341,783
    024524217 AMERICAN BEACON STEP AT COST 293,633 314,138
    46432F842 ISHARES CORE MSCI EA AT COST 345,772 336,445
    524686524 CLEARBRIDGE INTERNAT AT COST 301,942 318,186
    808524847 SCHWAB US REIT ETF AT COST 209,337 249,199
    56064L298 MAINSTAY CBRE GLOBAL AT COST 263,456 253,424
    98MSCF1K8 PARTNERS GROUP PRVT AT COST 265,483 274,609
    72369L107 PIONEER ILS INTERVAL AT COST 287,408 269,855
    861729101 STONE RIDGE REINSUR AT COST 8,206 7,278

    TY 2021 OtherDecreasesSchedule
    Name:
    JEAN JACK AND MILDRED LEMONS CHARITABLE TRUST
    EIN:
    43-6328116
    Description Amount
    ROUNDING 1
    PY ROC ADJUSTMENT 14


    TY 2021 OtherIncomeSchedule2
    Name:
    JEAN JACK AND MILDRED LEMONS CHARITABLE TRUST
    EIN:
    43-6328116
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INCOME 41 41  


    TY 2021 TaxesSchedule
    Name:
    JEAN JACK AND MILDRED LEMONS CHARITABLE TRUST
    EIN:
    43-6328116
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 1,407 1,407   0
    FEDERAL TAX PAYMENT - PRIOR YE 5,282 0   0
    FEDERAL ESTIMATES - PRINCIPAL 8,284 0   0
    FOREIGN TAXES ON NONQUALIFIED 746 746   0