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
PERAVID FOUNDATION AGENCY
 
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

41-2008607
B Telephone number (see instructions)

(651) 466-8213
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$11,786,955J 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... 159,872 151,654  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,181,676
b Gross sales price for all assets on line 6a 2,420,727
7 Capital gain net income (from Part IV, line 2)... 1,181,676
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 1,328    
12 Total. Add lines 1 through 11........ 1,342,876 1,333,330  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
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).... Click to see attachment 107,788 96,826   10,962
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,924 1,924   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)....... Click to see attachment 25     25
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 111,237 98,750 0 12,487
25 Contributions, gifts, grants paid....... 427,000 427,000
26 Total expenses and disbursements. Add lines 24 and 25 538,237 98,750 0 439,487
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 804,639
b Net investment income (if negative, enter -0-) 1,234,580
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............. -14,810 -2,878 -2,878
2 Savings and temporary cash investments......... 393,625 299,159 299,159
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)....... 6,335,279 Click to see attachment7,214,946 11,116,009
c Investments—corporate bonds (attach schedule)....... 381,334 Click to see attachment381,334 372,377
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment1,893 Click to see attachment2,288 Click to see attachment2,288
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 7,097,321 7,894,849 11,786,955
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........ 7,097,321 7,894,849
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)..... 7,097,321 7,894,849
30 Total liabilities and net assets/fund balances (see instructions). 7,097,321 7,894,849
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
7,097,321
2
Enter amount from Part I, line 27a .....................
2
804,639
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
7,901,960
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
7,111
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
7,894,849
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 256. PENSKE AUTOMOTIVE GROUP INC   2016-06-24 2021-01-06
b 274. PENSKE AUTOMOTIVE GROUP INC     2021-01-07
c 162. PENSKE AUTOMOTIVE GROUP INC     2021-01-08
d 162. PENSKE AUTOMOTIVE GROUP INC   2016-07-07 2021-01-11
e 1786.404 NUVEEN SMALL CAP VALUE FUND CL I     2021-01-13
80.607 NUVEEN SMALL CAP VALUE FUND CL I     2021-01-13
68. SPLUNK INC   2020-03-06 2021-01-13
100. BRISTOL MYERS SQUIBB RT 3/31/21   1911-11-11 2021-01-19
246. TRINITY INDS INC     2021-01-27
452. TRINITY INDS INC     2021-01-27
213. TRINITY INDS INC     2021-01-28
297. TRINITY INDS INC   2018-04-16 2021-01-29
41. TRINITY INDS INC     2021-02-02
504. TRINITY INDS INC     2021-02-03
507. TRINITY INDS INC     2021-02-04
1. AMGEN INC   1911-11-11 2021-02-09
142. ROBERT HALF INTL INC   2020-01-07 2021-02-24
517. ROBERT HALF INTL INC     2021-02-25
28. GRAHAM HOLDINGS CO     2021-03-02
244. TRINITY INDS INC   2019-03-06 2021-03-03
112. JOHNSON & JOHNSON   2000-09-07 2021-03-08
12. UNITEDHEALTH GROUP INC COM   2019-05-09 2021-03-08
290. VERIZON COMMUNICATIONS     2021-03-08
105. ACCENTURE PLC CL A   2007-02-01 2021-03-08
257. TRINITY INDS INC   2019-03-06 2021-03-11
91. AVERY DENNISON CORP COM   2020-02-27 2021-03-12
161. RYDER SYSTEM INC     2021-03-12
85. AVERY DENNISON CORP COM     2021-03-15
151. RYDER SYSTEM INC   2013-09-25 2021-03-15
45. ARMSTRONG WORLD INDS INC   2014-11-03 2021-03-16
143. RYDER SYSTEM INC   2013-09-25 2021-03-16
159. ARMSTRONG WORLD INDS INC     2021-03-17
159. RYDER SYSTEM INC     2021-03-17
64. RYDER SYSTEM INC     2021-03-18
101. RYDER SYSTEM INC     2021-03-22
32. RYDER SYSTEM INC     2021-03-23
140. RYDER SYSTEM INC   2018-11-27 2021-03-24
140. RYDER SYSTEM INC     2021-03-25
152. MCDONALD'S CORPORATION   2003-01-13 2021-03-31
91. RYDER SYSTEM INC   2020-01-08 2021-04-09
76. RYDER SYSTEM INC   2020-01-08 2021-04-12
46. RYDER SYSTEM INC   2020-01-08 2021-04-13
135. RYDER SYSTEM INC     2021-04-14
193. AVERY DENNISON CORP COM     2021-04-20
193. AVERY DENNISON CORP COM   2018-10-11 2021-04-21
212. ARMSTRONG WORLD INDS INC     2021-04-23
131. ARMSTRONG WORLD INDS INC     2021-04-26
55. APPLIED INDL TECHNOLOGIES INC     2021-04-28
35. ARMSTRONG WORLD INDS INC   2016-08-02 2021-04-28
80. ARROW ELECTRONICS INC   2020-01-07 2021-04-28
50. AVERY DENNISON CORP COM   2018-10-11 2021-04-28
80. WR BERKLEY CORP   2018-11-27 2021-04-28
55. BRADY CORPORATION CL A   2020-12-31 2021-04-28
140. CDK GLOBAL INC   2020-12-17 2021-04-28
95. CARLISLE COS INC     2021-04-28
70. DENTSPLY SIRONA INC   2020-03-24 2021-04-28
80. DONALDSON CO INC     2021-04-28
50. FTI CONSULTING INC COM   2020-08-14 2021-04-28
155. FIRSTCASH INC   2020-02-25 2021-04-28
235. FLOWSERVE CORP COM   2020-03-25 2021-04-28
10. GRAHAM HOLDINGS CO     2021-04-28
145. HOULIHAN LOKEY INC     2021-04-28
70. HOWARD HUGHES CORP/THE     2021-04-28
20. HUNTINGTON INGALLS INDUSTRIE   2020-12-16 2021-04-28
105. INSIGHT ENTERPRISES INC COM     2021-04-28
345. INTERPUBLIC GROUP COS INC COM   2019-07-31 2021-04-28
475. KENNEDY WILSON HOLDINGS INC     2021-04-28
15. L G I HOMES INC   2021-03-22 2021-04-28
25. MANPOWERGROUP INC   2014-12-02 2021-04-28
45. PHIBRO ANIMAL HEALTH CORPORATION     2021-04-28
90. PLEXUS CORP     2021-04-28
35. PRIMERICA INC   2021-04-21 2021-04-28
125. ROBERT HALF INTL INC   2019-06-13 2021-04-28
85. RYDER SYSTEM INC   2016-01-07 2021-04-28
110. SCHEIN HENRY INC COMMON STOCK   2020-03-01 2021-04-28
35. SMITH A O CORP   2020-03-04 2021-04-28
185. TRIMAS CORP   2019-04-15 2021-04-28
175. TRINITY INDS INC     2021-04-28
10. WOODWARD INC   2014-03-26 2021-04-28
250. ZIONS BANCORP COM   2018-03-02 2021-04-28
240. GENPACT LIMITED     2021-04-28
315. NVENT ELECTRIC PLC     2021-04-28
5. WHITE MTNS INS GROUP LTD     2021-04-28
184. APPLE COMPUTER INC COM   2013-06-19 2021-04-29
105. 3M CO     2021-04-29
189. AVERY DENNISON CORP COM     2021-05-07
381. WR BERKLEY CORP     2021-05-07
235. WR BERKLEY CORP   2009-12-03 2021-05-10
70. ELECTRONIC ARTS COM   2020-11-10 2021-05-11
184. MICRON TECHNOLOGY INC COM   2020-09-03 2021-05-11
73. AVERY DENNISON CORP COM   2018-11-12 2021-05-14
126. AVERY DENNISON CORP COM     2021-05-17
43. WR BERKLEY CORP   2009-12-03 2021-05-17
44. AVERY DENNISON CORP COM   2018-12-14 2021-05-18
71. WR BERKLEY CORP   2009-12-03 2021-05-18
104. AVERY DENNISON CORP COM     2021-05-19
52. WR BERKLEY CORP   2009-12-03 2021-05-19
90. WR BERKLEY CORP   2009-12-03 2021-05-20
153. AVERY DENNISON CORP COM   2011-11-15 2021-05-21
80. WR BERKLEY CORP   2009-12-03 2021-05-21
151. WR BERKLEY CORP   2009-12-03 2021-05-24
28. WR BERKLEY CORP   2009-12-03 2021-05-25
141. WR BERKLEY CORP   2009-12-03 2021-05-25
156. AVERY DENNISON CORP COM     2021-05-26
71. AVERY DENNISON CORP COM   2011-09-26 2021-05-27
277. AVERY DENNISON CORP COM   2011-09-26 2021-05-27
70. WR BERKLEY CORP   2009-12-03 2021-05-27
392. WR BERKLEY CORP   2009-12-03 2021-05-27
196. AVERY DENNISON CORP COM   2011-09-26 2021-05-28
84. WR BERKLEY CORP   2009-12-03 2021-05-28
111. WR BERKLEY CORP   2009-12-03 2021-06-01
177. WR BERKLEY CORP   2020-12-14 2021-06-02
102. WR BERKLEY CORP   2009-12-03 2021-06-02
132. SCHWAB CHARLES CORP NEW COM   2020-03-06 2021-06-17
107. DENTSPLY SIRONA INC     2021-06-25
124. DENTSPLY SIRONA INC   2020-05-12 2021-06-28
105. DENTSPLY SIRONA INC     2021-06-29
105. DENTSPLY SIRONA INC   2020-03-24 2021-07-01
89. DENTSPLY SIRONA INC   2020-03-24 2021-07-02
155. RYDER SYSTEM INC   2016-01-07 2021-07-14
166. ARMSTRONG WORLD INDS INC     2021-07-15
168. RYDER SYSTEM INC   2016-01-07 2021-07-15
92. ARMSTRONG WORLD INDS INC   2016-05-17 2021-07-16
224. ARMSTRONG WORLD INDS INC     2021-07-20
212. RYDER SYSTEM INC     2021-07-20
171. ARMSTRONG WORLD INDS INC     2021-07-21
120. RYDER SYSTEM INC   2019-08-01 2021-07-21
7. GRAHAM HOLDINGS CO     2021-08-05
9. GRAHAM HOLDINGS CO     2021-08-11
11. GRAHAM HOLDINGS CO     2021-08-16
7. GRAHAM HOLDINGS CO     2021-08-17
6. GRAHAM HOLDINGS CO   2016-05-18 2021-08-18
13. GRAHAM HOLDINGS CO     2021-08-19
7. GRAHAM HOLDINGS CO   2016-11-22 2021-08-24
16. GRAHAM HOLDINGS CO     2021-08-25
16. GRAHAM HOLDINGS CO     2021-08-25
14. GRAHAM HOLDINGS CO   2016-05-16 2021-08-27
7. GRAHAM HOLDINGS CO   2016-05-16 2021-08-31
10. GRAHAM HOLDINGS CO     2021-09-02
11. GRAHAM HOLDINGS CO     2021-09-03
7. GRAHAM HOLDINGS CO     2021-09-07
16. INTUIT INC COMMON STOCK   2020-05-18 2021-09-09
876. PFIZER INC     2021-09-09
25. GRAHAM HOLDINGS CO     2021-09-14
10. GRAHAM HOLDINGS CO   2014-09-22 2021-09-15
14. GRAHAM HOLDINGS CO   2014-09-22 2021-09-17
7. GRAHAM HOLDINGS CO     2021-09-23
8. GRAHAM HOLDINGS CO   2014-09-23 2021-09-24
16. GRAHAM HOLDINGS CO   2014-09-23 2021-09-27
12. GRAHAM HOLDINGS CO     2021-09-28
26. GRAHAM HOLDINGS CO     2021-09-30
148. RYDER SYSTEM INC     2021-11-01
188. HOULIHAN LOKEY INC     2021-11-02
360. RYDER SYSTEM INC     2021-11-02
76. FIRSTCASH INC   2020-02-25 2021-11-03
244. HOULIHAN LOKEY INC     2021-11-03
139. RYDER SYSTEM INC   2020-12-15 2021-11-03
244. RYDER SYSTEM INC   2012-08-17 2021-11-03
35. FIRSTCASH INC     2021-11-04
154. HOULIHAN LOKEY INC     2021-11-04
877. ENPRO INDUSTRIES INC     2021-11-05
75. FIRSTCASH INC   2020-02-27 2021-11-05
171. HOULIHAN LOKEY INC     2021-11-05
258. ENPRO INDUSTRIES INC     2021-11-08
75. FIRSTCASH INC     2021-11-08
171. HOULIHAN LOKEY INC   2020-02-28 2021-11-08
10. COSTCO WHSL CORP NEW COM   2020-11-10 2021-11-09
22. COSTCO WHSL CORP NEW COM   2020-07-10 2021-11-09
40. FIRSTCASH INC   2020-06-08 2021-11-09
15. INTUIT INC COMMON STOCK   2020-05-18 2021-11-09
192. CHUBB LTD     2021-11-09
30. FIRSTCASH INC     2021-11-10
58. FIRSTCASH INC   2020-06-08 2021-11-11
88. FIRSTCASH INC     2021-11-12
67. CARLISLE COS INC     2021-11-18
124. ROBERT HALF INTL INC   2019-06-13 2021-11-18
68. CARLISLE COS INC   2018-02-12 2021-11-19
76. ROBERT HALF INTL INC   2019-06-13 2021-11-19
43. CARLISLE COS INC     2021-11-23
31. ROBERT HALF INTL INC     2021-11-23
39. CARLISLE COS INC   2018-02-09 2021-11-26
102. ROBERT HALF INTL INC   2019-06-12 2021-11-26
103. CARLISLE COS INC     2021-11-29
121. ROBERT HALF INTL INC   2019-06-12 2021-11-29
152. CARLISLE COS INC     2021-11-30
90. ROBERT HALF INTL INC     2021-11-30
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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    
(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 15,720   8,498 7,222
b 17,206   8,554 8,652
c 10,106   4,920 5,186
d 10,144   4,919 5,225
e 42,606   20,276 22,330
1,922   1,798 124
11,618   9,395 2,223
    213 -213
7,372   5,754 1,618
13,554   10,548 3,006
5,927   4,960 967
8,249   6,898 1,351
1,188   952 236
14,621   11,679 2,942
15,083   11,649 3,434
4     4
11,666   8,942 2,724
41,290   30,406 10,884
16,091   15,190 901
7,624   5,541 2,083
17,706   5,229 12,477
4,235   2,867 1,368
16,519   8,513 8,006
26,374   3,997 22,377
7,617   5,836 1,781
16,443   10,619 5,824
12,462   9,644 2,818
15,454   9,193 6,261
11,518   9,010 2,508
4,280   1,938 2,342
10,812   8,532 2,280
15,127   6,801 8,326
12,015   9,030 2,985
4,934   3,574 1,360
7,357   5,592 1,765
2,257   1,756 501
9,991   7,653 2,338
10,084   7,632 2,452
34,321   2,617 31,704
7,007   4,937 2,070
5,929   4,123 1,806
3,512   2,495 1,017
10,425   7,192 3,233
38,042   19,892 18,150
38,346   19,056 19,290
20,972   13,192 7,780
13,229   5,530 7,699
5,250   3,880 1,370
3,638   1,476 2,162
9,327   6,787 2,540
10,578   4,937 5,641
6,281   4,139 2,142
3,019   2,897 122
7,667   7,273 394
18,098   11,726 6,372
4,614   2,363 2,251
4,984   3,904 1,080
7,078   5,913 1,165
11,291   12,817 -1,526
9,509   5,534 3,975
6,342   5,076 1,266
10,018   7,321 2,697
7,478   9,608 -2,130
4,191   3,494 697
10,781   6,148 4,633
10,769   7,958 2,811
9,683   9,300 383
2,478   2,125 353
3,067   1,705 1,362
1,093   1,329 -236
8,420   8,495 -75
5,617   5,628 -11
11,008   7,058 3,950
6,557   4,431 2,126
8,014   6,210 1,804
2,333   1,366 967
5,790   5,958 -168
4,948   3,958 990
1,240   405 835
13,826   14,669 -843
11,492   5,448 6,044
9,524   7,522 2,002
5,880   4,441 1,439
24,697   2,810 21,887
20,905   6,682 14,223
41,939   17,392 24,547
30,955   9,721 21,234
19,050   3,877 15,173
9,877   8,400 1,477
14,582   8,460 6,122
16,032   6,700 9,332
27,883   11,556 16,327
3,416   709 2,707
9,546   4,010 5,536
5,611   1,171 4,440
22,257   8,893 13,364
4,051   858 3,193
7,078   1,485 5,593
33,281   4,124 29,157
6,267   1,320 4,947
11,821   2,491 9,330
2,175   462 1,713
10,888   2,326 8,562
33,795   4,058 29,737
15,461   1,843 13,618
60,452   7,192 53,260
5,364   1,155 4,209
30,233   6,467 23,766
42,980   5,089 37,891
6,554   1,386 5,168
8,630   1,831 6,799
13,649   11,396 2,253
7,865   1,683 6,182
9,500   4,524 4,976
6,857   4,137 2,720
7,832   4,685 3,147
6,636   3,963 2,673
6,740   3,545 3,195
5,675   3,005 2,670
11,426   8,079 3,347
17,812   6,897 10,915
12,356   8,757 3,599
9,832   3,788 6,044
23,526   9,191 14,335
15,068   10,972 4,096
18,211   6,975 11,236
8,575   6,201 2,374
4,563   3,488 1,075
5,681   4,485 1,196
6,829   5,436 1,393
4,311   3,405 906
3,629   2,917 712
7,722   6,317 1,405
4,296   3,399 897
9,756   7,767 1,989
9,722   7,739 1,983
8,672   6,755 1,917
4,318   3,378 940
6,062   4,812 1,250
6,606   5,283 1,323
4,205   3,355 850
9,115   4,680 4,435
40,477   14,542 25,935
14,614   11,744 2,870
5,813   4,473 1,340
8,201   6,262 1,939
4,144   3,124 1,020
4,777   3,523 1,254
9,686   7,046 2,640
7,209   5,270 1,939
15,349   11,336 4,013
12,798   7,533 5,265
21,924   11,173 10,751
31,005   16,587 14,418
6,613   6,284 329
28,855   14,293 14,562
12,114   8,713 3,401
21,264   10,376 10,888
3,012   2,868 144
18,194   8,484 9,710
85,307   64,500 20,807
6,500   6,138 362
19,884   9,180 10,704
26,609   16,750 9,859
6,457   5,669 788
19,962   8,631 11,331
5,060   3,685 1,375
11,132   7,194 3,938
3,420   3,009 411
9,211   4,388 4,823
36,888   11,307 25,581
2,568   2,254 314
4,974   4,363 611
7,114   6,573 541
16,109   7,031 9,078
14,505   7,002 7,503
16,280   7,133 9,147
8,958   4,291 4,667
10,261   4,503 5,758
3,603   1,735 1,868
9,082   4,078 5,004
11,713   5,654 6,059
23,988   10,519 13,469
13,881   6,707 7,174
34,322   15,232 19,090
10,039   4,981 5,058
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
      64,102
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       7,222
b       8,652
c       5,186
d       5,225
e       22,330
      124
      2,223
      -213
      1,618
      3,006
      967
      1,351
      236
      2,942
      3,434
      4
      2,724
      10,884
      901
      2,083
      12,477
      1,368
      8,006
      22,377
      1,781
      5,824
      2,818
      6,261
      2,508
      2,342
      2,280
      8,326
      2,985
      1,360
      1,765
      501
      2,338
      2,452
      31,704
      2,070
      1,806
      1,017
      3,233
      18,150
      19,290
      7,780
      7,699
      1,370
      2,162
      2,540
      5,641
      2,142
      122
      394
      6,372
      2,251
      1,080
      1,165
      -1,526
      3,975
      1,266
      2,697
      -2,130
      697
      4,633
      2,811
      383
      353
      1,362
      -236
      -75
      -11
      3,950
      2,126
      1,804
      967
      -168
      990
      835
      -843
      6,044
      2,002
      1,439
      21,887
      14,223
      24,547
      21,234
      15,173
      1,477
      6,122
      9,332
      16,327
      2,707
      5,536
      4,440
      13,364
      3,193
      5,593
      29,157
      4,947
      9,330
      1,713
      8,562
      29,737
      13,618
      53,260
      4,209
      23,766
      37,891
      5,168
      6,799
      2,253
      6,182
      4,976
      2,720
      3,147
      2,673
      3,195
      2,670
      3,347
      10,915
      3,599
      6,044
      14,335
      4,096
      11,236
      2,374
      1,075
      1,196
      1,393
      906
      712
      1,405
      897
      1,989
      1,983
      1,917
      940
      1,250
      1,323
      850
      4,435
      25,935
      2,870
      1,340
      1,939
      1,020
      1,254
      2,640
      1,939
      4,013
      5,265
      10,751
      14,418
      329
      14,562
      3,401
      10,888
      144
      9,710
      20,807
      362
      10,704
      9,859
      788
      11,331
      1,375
      3,938
      411
      4,823
      25,581
      314
      611
      541
      9,078
      7,503
      9,147
      4,667
      5,758
      1,868
      5,004
      6,059
      13,469
      7,174
      19,090
      5,058
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 1,181,676
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 17,161
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 17,161
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 4,140
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 13,168
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 17,308
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 10 147
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet147 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)
    bulletMN
    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 ofbulletU S BANK NATIONAL ASSOCIATION Telephone no.bullet (855) 452-4076

    Located atbullet101 EAST 5TH STREETST PAULMN ZIP+4bullet55101
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
     
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    DAVID M LILLY JR PRESIDENT/TREASURER
    0     		0    
    2800 KENILWORTH PLACE
    MINNEAPOLIS,MN55405
    DIANE P LILLY DIRECTOR
    0     		0    
    2800 KENILWORTH PLACE
    MINNEAPOLIS,MN55405
    RUBY PEDIANGCO SECRETARY
    0     		0    
    800 NICOLLET MALL
    MINNEAPOLIS,MN55402
    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
    US BANK N A AGENCY FEE 54,811
    101 EAST 5TH ST
    ST PAUL,MN55101
    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
    10,694,332
    b
    Average of monthly cash balances.......................
    1b
    300,521
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    10,994,853
    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
    10,994,853
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    164,923
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    10,829,930
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    541,497
    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
    541,497
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    17,161
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    17,161
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    524,336
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    524,336
    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
    524,336
    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 7 524,336
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 399,637
    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$ 439,487
    a Applied to 2020, but not more than line 2a 399,637
    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..... 39,850
    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 ..........     		484,486
    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 e-mail address of the person to whom applications should be addressed:
    RUBY PEDIANGCO
    800 NICOLLET MALL
    MINNEAPOLIS,MN55402
    (612) 303-2847
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATIONS MAY BE SUBMITTED IN LETTER FORM OUTLINING THE REQUEST TOGETHER WITH SUCH SUPPORTING MATERIALS AS THE APPLICANT DESIRES
    cAny submission deadlines:
    NOVEMBER 1ST
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    FDN PRIMARILY MAKES GRANTS TO EDUCATIONAL, CULTURAL, YOUTH, ENVIRONME NTAL, EDUCATION AND COMMUNITY SUPPORT ORGS IN MN. NO GRANTS ARE MADE TO INDIVIDUALS OR ORGS REQUIRING EXPENDITURE RESPONSIBILITY.
    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
    ARTS PARTNERSHIP
    345 WASHINGTON ST
    SAINT PAUL,MN551021419     		NONE PC GENERAL OPERATING 5,000
    BOSTON MEDFLIGHT
    150 HANSCOM DRIVE
    BEDFORD,MA01730     		NONE PC GENERAL OPERATING 5,000
    COMMUNITY FOUNDATION OF NANTUCKET
    PO BOX 204
    NANTUCKET,MA025540204     		NONE PC GENERAL OPERATING 15,000
    SUSTAINABLE NANTUCKET
    PO BOX 1244
    NANTUCKET,MA02554     		NONE PC GENERAL OPERATING 2,000
    THE LOFT LITERARY LIBRARY
    1011 WASHINGTON AVE SOUTH SUITE 20
    MINNEAPOLIS,MN55415     		NONE PC GENERAL OPERATING 1,000
    YWCA OF MINNEAPOLIS
    1130 NICOLLET MALL
    MINNEAPOLIS,MN55403     		NONE PC GENERAL OPERATING 2,000
    UNIVERSITY OF MINNESOTA FOUNDATION
    200 SE OAK ST 500
    MINNEAPOLIS,MN55455     		NONE PC GENERAL OPERATING 1,000
    GUTHRIE THEATRE
    818 S SECOND ST
    MINNEAPOLIS,MN55415     		NONE PC GENERAL OPERATING 50,000
    BEACON INTERFAITH HOUSING COLLAB
    2610 UNIVERSITY AVE WEST SUITE 10
    ST PAUL,MN55114     		NONE PC GENERAL OPERATING 65,000
    PAGE EDUCATION FOUNDATION
    901 N 3RD ST STE 355
    MINNEAPOLIS,MN55401     		NONE PC GENERAL OPERATING 1,500
    GIRL SCOUTS OF MN & WI RIVER VALLEY
    400 ROBERT ST S
    ST PAUL,MN55107     		NONE PC GENERAL OPERATING 1,000
    UC HASTINGS COLLEGE OF THE LAW
    ALUMNI CENTER
    SAN FRANCISCO,CA941390001     		NONE PC GENERAL PURPOSE 1,000
    NANTUCKET COTTAGE HOSPITAL
    57 PROSPECT STREET
    NANTUCKET,MA02554     		NONE PC GENERAL PURPOSE 5,000
    US SENIORS GOLF ASSN MEMORIAL FUND
    49 KNOLLWOOD RD
    ELMSFORD,NY10523     		NONE PC GENERAL PURPOSE 1,000
    MINNESOTA LANDSCAPE ARBORETUM
    3675 ARBORETUM DRIVE
    CHASKA,MN553189613     		NONE PC GENERAL OPERATING 1,500
    NANTUCKET YACHT CLUB FOUNDATION
    PO BOX 667
    NANTUCKET,MA02554     		NONE PC GENERAL OPERATING 1,000
    MILKWEED EDITIONS
    1011 WASHINGTON AVE SOUTH SUITE 30
    MINNEAPOLIS,MN55415     		NONE PC GENERAL OPERATING 2,000
    MINNESOTA OPERA
    620 NORTH FIRST STREET
    MINNEAPOLIS,MN55401     		NONE PC GENERAL OPERATING 10,000
    PILLSBURY UNITED COMMUNITIES
    1200 37TH AVENUE NORTH
    MINNEAPOLIS,MN55412     		NONE PC GENERAL OPERATING 15,000
    HIGH POINT CENTER FOR PRINTMAKING
    912 W LAKE STREET
    MINNEAPOLIS,MN55408     		NONE PC GENERAL OPERATING 2,000
    GLOBAL MINNESOTA
    ADVANCEMENT DEPARTMENT
    MINNEAPOLIS,MN55414     		NONE PC GENERAL OPERATING 500
    MINNESOTA DANCE THEATRE
    528 HENNEPIN AVENUE
    MINNEAPOLIS,MN55403     		NONE PC GENERAL OPERATING 10,000
    BOSTON COLLEGE
    140 COMMONWEALTH AVENUE
    CHESTNUT HILL,MA02467     		NONE PC GENERAL OPERATING 1,000
    ORDWAY CENTER FOR PERFORMING ARTS
    345 WASHINGTON STREET
    ST PAUL,MN55102     		NONE PC GENERAL OPERATNG 55,000
    VOCALESSENCE
    1900 NICOLLET AVENUE
    MINNEAPOLIS,MN55403     		NONE PC GENERAL OPERATING 5,000
    SANKATY HEAD FOUNDATION
    PO BOX 875
    SIASCONSET,MA02564     		NONE PC GENERAL OPERATING 2,000
    NANTUCKET PRESERVATION TRUST
    PO BOX 158
    NANTUCKET,MA02554     		NONE PC GENERAL OPERATING 2,500
    COLORADO COLLEGE
    14 E CACHE LA POUDRE
    COLORADO SPRINGS,CO80903     		NONE PC GENERAL OPERATING 5,000
    THE SAINT PAUL CHAMBER ORCHESTRA
    408 ST PETER ST 3RD FLOOR
    ST PAUL,MN551021497     		NONE PC GENERAL OPERATING 10,000
    PLANNED PARENTHOOD OF MN ND & SD
    671 VANDALIA STREET STE 323
    ST PAUL,MN55114     		NONE PC GENERAL OPERATING 10,000
    TWIN CITIES PUBLIC TELEVISION
    172 EAST FOURTH ST
    ST PAUL,MN55101     		NONE PC GENERAL OPERATING 22,000
    NANTUCKET CONSERVATION FDN
    PO BOX 13
    NANTUCKET,MA02554     		NONE PC GENERAL OPERATING 2,500
    NANTUCKET HISTORIC ASSOCIATION
    15 BROAD STREET
    NANTUCKET,MA02554     		NONE PC GENERAL OPERATING 2,000
    PROJECT FOR PRIDE IN LIVING
    1035 E FRANKLIN AVE
    MINNEAPOLIS,MN55404     		NONE PC GENERAL OPERATING 2,000
    EGAN MARITIME INSTITUTE
    PO BOX 2923
    NANTUCKET,MA02584     		NONE PC GENERAL OPERATING 2,500
    PLANNED PARENTHOOD OF GREATER OHIO
    206 E STATE ST
    Columbus,OH43215     		NONE PC GENERAL OPERATING 1,000
    MASSACHUSETTS GOLF ASSN
    300 ARNOLD PALMER BLVD
    Norton,MA02766     		NONE PC GENERAL OPERATING 1,000
    ST PAUL JEWISH COMMUNITY CENTER
    1375 ST PAUL AVE
    St Paul,MN55116     		NONE PC GENERAL OPERATING 1,000
    SIMPSON HOUSING SERVICES
    2100 PILLSBURY AVE S
    MINNEAPOLIS,MN554042347     		NONE PC GENERAL OPERATING 5,000
    NANTUCKET LAND COUNCIL
    PO BOX 502
    NANTUCKET,MA02554     		NONE PC GENERAL OPERATING 2,000
    INDIGENOUS PEOPLES TASK FORCE
    1335 E 23RD ST
    Minneapolis,MN55404     		NONE PC GENERAL OPERATING 2,000
    MINNESOTA PUBLIC RADIO
    480 CEDAR STREET
    SAINT PAUL,MN55101     		NONE PC GENERAL OPERATING 5,000
    MACPHAIL CENTER FOR MUSIC
    501 S 2ND STREET
    MINNEAPOLIS,MN55401     		NONE PC GENERAL OPERATING 1,000
    FILM SOCIETY OF MINNEAPOLIS ST PAUL
    125 SE MAIN STREET SUITE 341
    MINNEAPOLIS,MN55414     		NONE PC GENERAL OPERATING 2,000
    ST PAUL ACADEMY
    1712 RANDOLPH AVE
    St Paul,MN55105     		NONE PC GENERAL OPERATING 5,000
    CENTER FOR VICTIMS OF
    TORTURE
    2356 UNIVERSITY AVE W STE 430
    Saint Paul,MN55114     		NONE N/A GRANT 2,500
    WALKER ART CENTER
    725 VINELAND PLACE
    MINNEAPOLIS,MN55403     		NONE PC GENERAL OPERATING 5,000
    DREAMLAND THEATER FDN
    PO BOX 989
    NANTUCKET,MA02554     		NONE PC GENERAL OPERATING 1,000
    VOLUNTEERS OF AMERICA MINNESOTA
    7625 METRO BOULEVARD
    Minneapolis,MN55439     		NONE PC GENERAL OPERATING 1,000
    NANTUCKET ATHANEUM LIBRARY
    1 INDIA ST
    Nantucket,MA02554     		NONE PC GENERAL OPERATING 5,000
    MARIA MITCHELL ASSOCIATION
    4 VESTAL ST
    NANTUCKET,MA02554     		NONE PC GENERAL OPERATING 1,000
    HOPE COMMUNITY INC
    3350 S KEDZIE AVE
    Chicago,IL60623     		NONE PC GENERAL OPERATING 1,000
    MINNEAPOLIS INSTITUTE OF ARTS
    2400 THIRD AVENUE SOUTH
    MINNEAPOLIS,MN55404     		NONE PC GENERAL OPERATING 45,000
    LINDA LORING NATURE FOUNDATION
    110 EEL POINT RD
    Nantucket,MA02554     		NONE PC GENERAL OPERATING 500
    PLYMOUTH CONGREGATIONAL CHURCH OF MN
    1900 NICOLLETTE AVE
    MINNEAPOLIS,MN55403     		NONE PC GENERAL OPERATING 1,000
    PARK NICOLLET FOUNDATION
    3800 PARK NICOLLET BLVD
    ST LOUIS PARK,MN55416     		NONE N/A GRANT 20,000
    Total .................................bullet 3a 427,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 1,181,676  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aFEDERAL TAX REFUND     		    1 1,328  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..   1,342,876  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,342,876
    (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:
    PERAVID FOUNDATION AGENCY
    EIN:
    41-2008607
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 1,500     1,500

    TY 2021 ContractorCompensationExpln
    Name:
    PERAVID FOUNDATION AGENCY
    EIN:
    41-2008607
    Contractor Explanation
    US BANK N A FEES PAID FOR AGENT SERVICES

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    PERAVID FOUNDATION AGENCY
    EIN:
    41-2008607
    Name of Bond End of Year Book Value End of Year Fair Market Value
    52469F721 WESTERN ASSET INCOME 118,419 115,105
    277923728 EATON VANCE GLOBAL M 92,915 89,394
    258620103 DOUBLELINE TOTAL RET 170,000 167,878

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    PERAVID FOUNDATION AGENCY
    EIN:
    41-2008607
    Name of Stock End of Year Book Value End of Year Fair Market Value
    922908686 VANGUARD SMALL CAP I 77,500 103,478
    808513105 SCHWAB CHARLES CORP 22,685 56,263
    81762P102 SERVICENOW INC 3,005 26,614
    060505104 BANK OF AMERICA CORP 23,673 49,028
    74316J458 CONGRESS MID CAP GRO 50,366 120,177
    594918104 MICROSOFT CORP 20,278 271,074
    91324P102 UNITED HEALTH GROUP 12,017 28,120
    G1151C101 ACCENTURE PLC CL A    
    03027X100 AMERICAN TOWER CORP 21,539 37,440
    023135106 AMAZON.COM INC 51,346 110,033
    02079K107 ALPHABET INC CL C 8,990 57,872
    315910620 FIDELITY INVT TR AD 88,391 124,643
    57636Q104 MASTERCARD INC 10,550 64,318
    717081103 PFIZER INC    
    037833100 APPLE INC 19,672 228,710
    670678200 NUVEEN SMALL CAP VAL    
    580135101 MCDONALDS CORP    
    88579Y101 3M CO    
    931142103 WAL MART STORES INC 8,704 19,678
    02079K305 ALPHABET INC CL A 1,357 8,691
    06828M876 BARON EMERGING MARKE 74,951 135,788
    H1467J104 CHUBB LTD 3,278 10,825
    375558103 GILEAD SCIENCES INC 33,472 39,355
    92343V104 VERIZON COMMUNICATIO    
    149498107 CAUSEWAY EMERGING MA 174,243 176,224
    478160104 JOHNSON JOHNSON 13,072 47,900
    46625H100 J P MORGAN CHASE CO 14,472 60,490
    78462F103 SPDR S P 500 ETF 117,506 283,076
    779572106 T ROWE PRICE SMALL C 47,055 79,964
    46432F842 ISHARES CORE MSCI EA 360,868 458,514
    922908553 VANGUARD REAL ESTATE 117,631 168,679
    56585A102 MARATHON PETROLEUM C 42,264 61,046
    012653101 ALBEMARLE CORP 10,166 32,728
    15135B101 CENTENE CORP COM 47,942 65,178
    464287507 ISHARES CORE SP MID- 307,292 440,472
    110122157 BRISTOL MYERS SQUIBB    
    461202103 INTUIT INC 12,251 22,513
    79466L302 SALESFORCE COM INC 32,275 42,694
    92556V106 VIATRIS INC 45,424 36,287
    89400J107 TRANSUNION 13,080 19,447
    595112103 MICRON TECHNOLOGY IN 10,483 21,238
    776696106 ROPER INDS INC 27,269 31,479
    848637104 SPLUNK INC    
    70450Y103 PAYPAL HOLDINGS INC 56,893 55,820
    76680R206 RINGCENTRAL INC 47,753 34,472
    88339J105 TRADE DESK INC THE C 22,252 43,987
    30303M102 FACEBOOK INC A 31,796 59,870
    57667L107 MATCH GROUP INC NEW 31,283 55,545
    278865100 ECOLAB INC 23,372 28,151
    285512109 ELECTRONIC ARTS INC    
    217204106 COPART INC COM 23,703 43,363
    22160K105 COSTCO WHSL CORP 20,031 31,791
    87918A105 TELADOC INC 61,556 33,790
    87612E106 TARGET CORP 27,907 57,860
    SEE ATTACHED STATEMENT    
    98954M101 ZILLOW GROUP INC 19,848 18,666
    009066101 AIRBNB INC CL A 37,692 37,960
    22266L106 COUPA SOFTWARE INC 44,260 27,817
    30063P105 EXACT SCIENCES CORPO 38,956 28,953
    852234103 SQUARE INC A 20,893 14,536
    67066G104 NVIDIA CORP 15,884 39,999
    ATTACH 4,462,183 6,614,380
    ATTACH 303,617 349,013

    TY 2021 OtherAssetsSchedule
    Name:
    PERAVID FOUNDATION AGENCY
    EIN:
    41-2008607
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ACCRUED INCOME   0 0
    000000000 MISCELLANEOUS ENTRY 1,893 2,288 2,288


    TY 2021 OtherDecreasesSchedule
    Name:
    PERAVID FOUNDATION AGENCY
    EIN:
    41-2008607
    Description Amount
    PY RETURN OF CAPITAL ADJ 24
    ROC ADJ ON CY SALES 259
    BRISTOL MYERS SQUIBB WORTHLESS ADJ 213
    WASH SALE ADJUSTMENT 491
    VANGUARD REIT ADJ 2,016
    KENNEDY WILSON ADJ 3,134
    KENNEDY WILSON PY ADJ 862
    COST BASIS ADJUSTMENT 112


    TY 2021 OtherExpensesSchedule
    Name:
    PERAVID FOUNDATION AGENCY
    EIN:
    41-2008607
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE FILING FEE/TAX 25 0   25


    TY 2021 OtherIncomeSchedule2
    Name:
    PERAVID FOUNDATION AGENCY
    EIN:
    41-2008607
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL TAX REFUND 1,328 0  


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    PERAVID FOUNDATION AGENCY
    EIN:
    41-2008607
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT COUNSEL FEES 52,977 52,977    
    US BANK FEES AS AGENT 54,811 43,849   10,962


    TY 2021 TaxesSchedule
    Name:
    PERAVID FOUNDATION AGENCY
    EIN:
    41-2008607
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 1,115 1,115   0
    FOREIGN TAXES ON NONQUALIFIED 809 809   0