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
REYNOLDS AMERICAN FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 2959
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WINSTON SALEM, NC271022959
A Employer identification number

58-1681920
B Telephone number (see instructions)

(336) 741-0536
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$61,538,599
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 69 90  
4 Dividends and interest from securities... 840,106 900,364  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 769,829
b Gross sales price for all assets on line 6a 1,005,127
7 Capital gain net income (from Part IV, line 2)... 3,421,987
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 0 20,083  
12 Total. Add lines 1 through 11........ 1,610,004 4,342,524 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 23,477 0 0 0
c Other professional fees (attach schedule).... 254,868 219,233 0 35,635
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 85,001 0 0 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 2,000 24,824 0 0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 365,346 244,057 0 35,635
25 Contributions, gifts, grants paid....... 1,214,186 1,311,757
26 Total expenses and disbursements. Add lines 24 and 25 1,579,532 244,057 0 1,347,392
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 30,472
b Net investment income (if negative, enter -0-) 4,098,467
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............. 1,737,030 1,150,878 1,150,878
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 54,527,868 Click to see attachment60,329,035 60,329,035
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment64,364 Click to see attachment58,686 Click to see attachment58,686
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 56,329,262 61,538,599 61,538,599
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment99,841 Click to see attachment60,484
23 Total liabilities (add lines 17 through 22)......... 99,841 60,484
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........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 56,229,421 61,478,115
29 Total net assets or fund balances (see instructions)..... 56,229,421 61,478,115
30 Total liabilities and net assets/fund balances (see instructions). 56,329,262 61,538,599
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
56,229,421
2
Enter amount from Part I, line 27a .....................
2
30,472
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
5,218,222
4
Add lines 1, 2, and 3 ..........................
4
61,478,115
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
61,478,115
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   P    
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 3,657,285   235,298 3,421,987
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       3,421,987
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 3,421,987
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 3,421,987
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 56,969
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 56,969
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 58,701
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 10,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 68,701
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 11,732
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet11,732 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletNC
    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 ofbulletKARA CALDERON Telephone no.bullet (336) 741-0536

    Located atbulletPO BOX 2959WINSTONSALEMNC ZIP+4bullet27102
    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)
    Yes
     
    (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
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    MARY ELIZABETH BARWICK PRESIDENT
    2.00
    0 0 0
    PO BOX 2959
    WINSTON SALEM,NC271022959
    BRIAN CHAMBERS DIRECTOR
    2.00
    0 0 0
    PO BOX 2960
    WINSTON SALEM,NC271022960
    STEVEN HOLLAND TREASURER
    2.40
    0 0 0
    PO BOX 2961
    WINSTON SALEM,NC271022961
    MONIQUE PETREE SECRETARY
    2.50
    0 0 0
    PO BOX 2962
    WINSTON SALEM,NC271022962
    MAMIE SUTPHIN VICE PRESIDENT / EXECUTIVE DIRECTOR
    4.00
    0 0 0
    PO BOX 2963
    WINSTON SALEM,NC271022963
    DERRICK MANUEL DIRECTOR
    2.00
    0 0 0
    PO BOX 2964
    WINSTON SALEM,NC271022964
    SHAY MUSTAFA CHAIRMAN
    2.00
    0 0 0
    PO BOX 2965
    WINSTON SALEM,NC271022965
    RICK WHITENER DIRECTOR
    2.00
    0 0 0
    PO BOX 2966
    WINSTON SALEM,NC271022966
    NANCY STURGEON DIRECTOR
    2.50
    0 0 0
    PO BOX 2967
    WINSTON SALEM,NC271022967
    ANTHONY AHIABUIKE DIRECTOR
    2.00
    0 0 0
    PO BOX 2968
    WINSTON SALEM,NC271022968
    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
    NORTHERN TRUST COMPANY OF CONNECTICUT INVESTMENTS 219,233
    300 ATLANTIC STREET
    STAMFORD,CT06901
    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.........................bullet0
    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
    57,792,750
    b
    Average of monthly cash balances.......................
    1b
    1,614,955
    c
    Fair market value of all other assets (see instructions)................
    1c
    58,686
    d
    Total (add lines 1a, b, and c).........................
    1d
    59,466,391
    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
    59,466,391
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    891,996
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    58,574,395
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    2,928,720
    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
    2,928,720
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    56,969
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    56,969
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,871,751
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    2,871,751
    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
    2,871,751
    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 2,871,751
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 6,115,682
    b From 2017...... 5,411,848
    c From 2018...... 3,464,688
    d From 2019...... 2,689,448
    e From 2020...... 1,460,371
    f Total of lines 3a through e ........ 19,142,037
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 1,347,392
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2021 distributable amount..... 1,347,392
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 1,524,359 1,524,359
    (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 17,617,678
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
    4,591,323
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    13,026,355
    10 Analysis of line 9:
    a Excess from 2017.... 5,411,848
    b Excess from 2018.... 3,464,688
    c Excess from 2019.... 2,689,448
    d Excess from 2020.... 1,460,371
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    KARA CALDERON EXECUTIVE DIRECTOR
    REYNOLDS AMERICAN FDN PO BOX 2959
    WINSTONSALEM,NC27102
    (336) 741-0536
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATIONS SHOULD BE SUBMITTED IN WRITTEN FORM WITH THE ORGANIZATION'S SECTION 501(C)(3) EXEMPTION LETTER ATTACHED. APPLICANTS SHOULD PROVIDE A DESCRIPTION OF THE ACTIVITY FOR WHICH MONEY IS NEEDED, A DESCRIPTION OF THE PROPOSED PROJECT, AND A LIST OF THE ORGANIZATION'S BOARD OF DIRECTORS. FOR ADDITIONAL DETAILS AND REQUIREMENTS EMAIL: RAIFOUNDATION@RJRT.COM
    cAny submission deadlines:
    N/A
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    AWARDS GENERALLY DIRECTED TOWARDS EDUCATION, ARTS, AND SOCIAL SERVICES/BASIC NEEDS.
    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
    FORSYTH TECHNICAL COMMUNITY COLLEGE
    2100 SILAS CREEK PARKWAY
    WINSTONSALEM,NC27103
      GOV VOCATIONAL / TECHNICAL SCHOLARSHIPS 1,000
    KALEIDEUM
    300 S LIBERTY STREET
    WINSTONSALEM,NC27101
      PC CAPITAL CAMPAIGN 150,000
    NATIONAL MERIT SCHOLARSHIP
    1560 SHERMAN AVENUE
    EVANSTON,IL60201
      PC SCHOLARSHIP AWARDS 93,480
    NC SCHOOL OF THE ARTS FOUNDATION INC
    1533 SOUTH MAIN STREET
    WINSTONSALEM,NC27127
      PC ANNUAL CONTRIBUTION 90,000
    SURRY COMMUNITY COLLEGE
    360 SOUTH MAIN STREET
    DOBSON,NC27101
      GOV VOCATIONAL / TECHNICAL SCHOLARSHIPS 3,000
    WINSTON SALEM FOUNDATION
    751 W 4TH STREET 400
    WINSTONSALEM,NC27101
      PC PROJECT IMPACT 625,000
    A&O 21ST CENTURY CLUB INC
    PO BOX 728
    RAYNE,LA70578
      PC CHARITABLE ACTIVITIES 1,000
    ABSECON SOCIAL AND ATHLETIC CLUB
    PO BOX 26
    ABSECON,NJ082010026
      PC CHARITABLE ACTIVITIES 1,000
    ALUMNI SAN IGNACIO INC
    340 CRANDON BLVD SUITE 272
    KEY BISCAYNE,FL331490000
      PC CHARITABLE ACTIVITIES 3,000
    ALWAYS HOME INC
    119 HIGH ST
    MYSTIC,CT063552415
      PC CHARITABLE ACTIVITIES 500
    ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATION
    225 N MICHIGAN AVE 1700
    CHICAGO,IL606017652
      PC CHARITABLE ACTIVITIES 250
    ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION INCORPORATED
    225 N MICHIGAN AVE STE
    CHICAGO,IL606017652
      PC CHARITABLE ACTIVITIES 520
    AMATEUR ATHLETIC UNION OF THE UNITED STATES-6TH MAN SPORTS
    PO BOX 871
    RAYNE,LA70578
      PC CHARITABLE ACTIVITIES 7,000
    AMERICAN FOUNDATION FOR SUICIDE PREVENTION
    199 WATER STREET 11TH FLOOR
    NEW YORK,NY10038
      PC CHARITABLE ACTIVITIES 75
    AMERICAN HUMANE ASSOCIATION
    1400 16TH STREET NW SUITE 360
    WASHINGTON,DC20036
      PC CHARITABLE ACTIVITIES 500
    AMERICAN LUNG ASSOCIATION OF THE SOUTHWEST INC
    5600 GREENWOOD PLAZA BOULEVARD
    GREENWOOD VILLAGE,CO80111
      PC CHARITABLE ACTIVITIES 60
    AMERICAN NATIONAL RED CROSS
    690 COLISEUM DRIVE
    WINSTON SALEM,NC27106
      PC CHARITABLE ACTIVITIES 2,000
    AMERICAN NATIONAL RED CROSS
    PO BOX 14710
    GREENSBORO,NC27415
      PC CHARITABLE ACTIVITIES 100
    AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION
    4 N BLOUNT ST SUITE 200
    RALEIGH,NC27601
      PC CHARITABLE ACTIVITIES 550
    ANIMAL ADOPTION AND RESCUE FOUNDATION INC
    311 HARVEY STREET
    WINSTON SALEM,NC27103
      PC CHARITABLE ACTIVITIES 750
    ANIMAL LEGAL DEFENSE FUND
    525 EAST COTATI AVENUE
    COTATI,CA94931
      PC CHARITABLE ACTIVITIES 200
    APOLLO HIGH SCHOOL
    2280 TAMARACK ROAD
    OWENSBORO,KY42301
      GOV CHARITABLE ACTIVITIES 1,000
    APPALACHIAN STATE UNIVERSITY FOUNDATION INC
    PO BOX 32014
    BOONE,NC28608
      PC CHARITABLE ACTIVITIES 1,750
    APPALACHIAN STATE UNIVERSITY FOUNDATION INC
    PO BOX 32014
    BOONE,NC28608
      PC CHARITABLE ACTIVITIES 2,800
    AREA CONGREGATIONS IN MINISTRY
    PO BOX 398
    OXFORD,NC275650398
      PC CHARITABLE ACTIVITIES 900
    ASPCA - AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
    424 E 92ND ST
    NEW YORK,NY101286804
      PC CHARITABLE ACTIVITIES 716
    ATLANTA COMMUNITY FOOD BANK INC
    3400 NORTH DESERT DRIVE
    ATLANTA,GA303440000
      PC CHARITABLE ACTIVITIES 125
    BAIL PROJECT INC
    PO BOX 750
    VENICE,CA902940750
      PC CHARITABLE ACTIVITIES 100
    BENNETT COLLEGE
    900 E WASHINGTON STREET
    GREENSBORO,NC27401
      PC CHARITABLE ACTIVITIES 750
    BEST FRIENDS ANIMAL SOCIETY
    5001 ANGEL CANYON ROAD
    KANAB,UT847415000
      PC CHARITABLE ACTIVITIES 425
    BIG BROTHERS BIG SISTERS SERVICES INC
    200 SOUTH MARSHALL STREET
    WINSTONSALEM,NC27101
      PC CHARITABLE ACTIVITIES 250
    BIG BROTHERS BIG SISTERS SERVICES INC
    200 SOUTH MARSHALL STREET
    WINSTONSALEM,NC27101
      PC CHARITABLE ACTIVITIES 9,162
    BOY SCOUTS OF AMERICA
    6600 SILAS CREEK PARKWAY
    WINSTON SALEM,NC271065058
      PC CHARITABLE ACTIVITIES 200
    BROOKES PLACE FOR GRIEVING YOUNG PEOPLE INC
    8935 N MERIDIAN STREET SUITE 200
    INDIANAPOLIS,IN46260
      PC CHARITABLE ACTIVITIES 6,900
    BROOKS GLOBAL STUDIES
    1215 N JOSEPHINE BOYD STREET
    GREENSBORO,NC274080000
      GOV CHARITABLE ACTIVITIES 80
    BURLINGTON CHRISTIAN ACADEMY INC
    621 E 6TH ST
    BURLINGTON,NC272156501
      PC CHARITABLE ACTIVITIES 1,500
    CABARRUS COOPERATIVE CHRISTIAN MINISTRY FOUNDATION
    PO BOX 1717
    CONCORD,NC280261717
      PC CHARITABLE ACTIVITIES 3,150
    CALVARY DAY SCHOOL
    134 S PEACE HAVEN RD
    WINSTON SALEM,NC271044514
      PC CHARITABLE ACTIVITIES 125
    CALVARY DAY SCHOOL
    134 S PEACE HAVEN RD
    WINSTON SALEM,NC271044514
      PC CHARITABLE ACTIVITIES 19,595
    CAMP HAPPY TAILS NYC INC
    4963 168TH STREET
    FLUSHING,NY11365
      PC CHARITABLE ACTIVITIES 50
    CANCER SERVICES INC
    3175 MAPLEWOOD AVE
    WINSTON SALEM,NC27103
      PC CHARITABLE ACTIVITIES 250
    CAPITAL REGION YOUTH TENNIS FOUNDATION INC
    785 WASHINGTON AVE
    ALBANY,NY122061801
      PC CHARITABLE ACTIVITIES 300
    CARDINAL FOUNDATION OF EAST SURRY INC
    PO BOX 681
    PILOT MOUNTAIN,NC270410946
      PC CHARITABLE ACTIVITIES 1,500
    CARY ACADEMY
    1500 N HARRISON
    CARY,NC27513
      PC CHARITABLE ACTIVITIES 500
    CASH ELEMENTARY PTA
    4700 OLD HOLLOW ROAD
    KERNERSVILLE,NC27284
      PC CHARITABLE ACTIVITIES 212
    CATHOLIC CHARITIES DIOCESE OF CHARLOTTE
    1123 SOUTH CHURCH STREET
    CHARLOTTE,NC28203
      PC CHARITABLE ACTIVITIES 750
    CENTRAL TEXAS FOOD BANK INC
    6500 METROPOLIS DRIVE
    AUSTIN,TX78744
      PC CHARITABLE ACTIVITIES 105
    CEREBRAL PALSY ALLIANCE RESEARCH FOUNDATION
    142 WEST 57TH STREET 11TH FLOOR
    NEW YORK,NY10010
      PC CHARITABLE ACTIVITIES 25
    CHESAPEAKE BAY FOUNDATION INC
    6 HERNDON AVE ANNAPOLIS
    ANNAPOLIS,MD214034503
      PC CHARITABLE ACTIVITIES 100
    CHESTNUT GROVE MIDDLE SCHOOL
    2185 CHESTNUT GROVE
    KING,NC27021
      GOV CHARITABLE ACTIVITIES 100
    CHILD FOUNDATION
    2020 NE 102ND AVE
    PORTLAND,OR97220
      PC CHARITABLE ACTIVITIES 320
    CHILDFUND INTERNATIONAL USA
    2821 EMERYWOOD PARKWAY
    RICHMOND,VA23294
      PC CHARITABLE ACTIVITIES 1,566
    CITADEL FOUNDATION
    171 MOULTRIE STREET
    CHARLESTON,SC294090002
      PC CHARITABLE ACTIVITIES 500
    CLAFLIN UNIVERSITY
    400 MAGNOLIA STREET
    ORANGEBURG,SC29115
      PC CHARITABLE ACTIVITIES 150
    CLEMMONS FOOD PANTRY INC
    P O BOX 871 2585 OLD GLORY ROAD
    CLEMMONS,NC27012
      PC CHARITABLE ACTIVITIES 50
    CLEMMONS FOOD PANTRY INC
    P O BOX 871 2585 OLD GLORY ROAD
    CLEMMONS,NC27012
      PC CHARITABLE ACTIVITIES 1,000
    CLEMSON UNIVERSITY FOUNDATION
    PO BOX 1889
    CLEMSON,SC296331889
      PC CHARITABLE ACTIVITIES 1,150
    COLONIAL WILLIAMSBURG FOUNDATION
    PO BOX 1776
    WILLIAMSBURG,VA231871776
      PC CHARITABLE ACTIVITIES 250
    COMMUNITIES IN SCHOOLS OF THOMASVILLE INC
    400 TURNER ST
    THOMASVILLE,NC273603129
      PC CHARITABLE ACTIVITIES 150
    COMMUNITY DESIGN STUDIO OF NORTH CAROLINA
    4471 CHEYENNE CT
    WINSTON SALEM,NC271064589
      PC CHARITABLE ACTIVITIES 265
    COMMUNITY SOUP KITCHEN OF WILSON COUNTY INC
    PO BOX 2091
    WILSON,NC27894
      PC CHARITABLE ACTIVITIES 1,000
    CONSERVATORS CENTER INC
    PO BOX 882
    MEBANE,NC273020882
      PC CHARITABLE ACTIVITIES 25
    CORNELL UNIVERSITY
    130 E SENECA STREET STE
    ITHACA,NY14850
      PC CHARITABLE ACTIVITIES 2,000
    COSBY HIGH SCHOOL ATHLETIC BOOSTERS
    14300 FOX CLUB PKWY
    MIDLOTHIAN,VA231126366
      PC CHARITABLE ACTIVITIES 1,000
    CRISIS CONTROL MINISTRY INC
    200 E 10TH STREET
    WINSTON SALEM,NC27101
      PC CHARITABLE ACTIVITIES 250
    CRISIS CONTROL MINISTRY INC
    200 E 10TH STREET
    WINSTON SALEM,NC27101
      PC CHARITABLE ACTIVITIES 3,200
    CRISIS PREGNANCY CENTER OF MAHONING COUNTY
    4845 MARKET STREET
    YOUNGSTOWN,OH445122126
      PC CHARITABLE ACTIVITIES 50
    DAVIE COUNTY ARTS COUNCIL
    622 N MAIN STREET
    MOCKSVILLE,NC27028
      PC CHARITABLE ACTIVITIES 2,000
    DAVIE COUNTY SCHOOLS
    220 CHERRY ST
    MOCKSVILLE,NC27028
      GOV CHARITABLE ACTIVITIES 2,000
    DAVIE HIGH ATHLETIC BOOSTERS ASSOCIATION INC
    1200 SALISBURY ROAD
    MOCKSVILLE,NC27028
      GOV CHARITABLE ACTIVITIES 1,000
    DAVIE HIGH HUNGER FIGHTERS
    180 WAR EAGLE DR
    MOCKSVILLE,NC27028
      PC CHARITABLE ACTIVITIES 650
    DAY SPRING FOUNDATION INC
    2210 MEADOW DRIVE
    LOUISVILLE,KY40218
      PC CHARITABLE ACTIVITIES 500
    DELTA RESEARCH AND EDUCATIONAL FOUNDATION
    1703 NEW HAMPSHIRE AVE
    WASHINGTON DC,DC20009
      PC CHARITABLE ACTIVITIES 7,000
    DELTA TAU DELTA EDUCATIONAL FOUNDATION INC
    10000 ALLISONVILLE RD
    FISHERS,IN460382008
      PC CHARITABLE ACTIVITIES 125
    DISCERS-4-WHISKERS INC
    1932 HINSHAW AVE
    WINSTON SALEM,NC271044327
      PC CHARITABLE ACTIVITIES 600
    DOWNTOWN GREENSBORO FOUNDATION
    536 S ELM ST
    GREENSBORO,NC274061326
      PC CHARITABLE ACTIVITIES 250
    DRAGONFLY HOUSE CHILDRENS ADVOCACY CENTER
    387 VALLEY ROAD
    MOCKSVILLE,NC27028
      PC CHARITABLE ACTIVITIES 500
    DREAM TEAM FOUNDATION INC
    PO BOX 1971
    KERNERSVILLE,NC272851971
      PC CHARITABLE ACTIVITIES 3,275
    DRESS FOR SUCCESS WINSTON-SALEM
    375 BUXTON STREET
    WINSTON SALEM,NC27101
      PC CHARITABLE ACTIVITIES 100
    DRESS FOR SUCCESS WINSTON-SALEM
    376 BUXTON STREET
    WINSTON SALEM,NC27101
      PC CHARITABLE ACTIVITIES 226
    DUDLEY PANTHER ATHLETIC CLUB
    1200 LINCOLN ST
    GREENSBORO,NC274013706
      GOV CHARITABLE ACTIVITIES 1,048
    DUKE UNIVERSITY
    BOX 90581
    DURHAM,NC27708
      PC CHARITABLE ACTIVITIES 700
    EARLY CHILDHOOD CENTER INC OF WEST MARKET UNITED METHODIST CHURCH
    PO BOX 870
    GREENSBORO,NC274020870
      PC CHARITABLE ACTIVITIES 25
    EDUCATIONAL FOUNDATION INC
    PO BOX 2446
    CHAPEL HILL,NC27515
      PC CHARITABLE ACTIVITIES 1,200
    EDWARD M ARMFIELD SR CIVIC AND RECREATION INC
    873 WEST 52 BYPASS
    PILOT MOUNTAIN,NC27041
      PC CHARITABLE ACTIVITIES 1,500
    EMORY & HENRY COLLEGE
    PO BOX 950
    EMORY,VA24327
      PC CHARITABLE ACTIVITIES 100
    EMORY & HENRY COLLEGE
    PO BOX 950
    EMORY,VA24327
      PC CHARITABLE ACTIVITIES 1,000
    EPISCOPAL RELIEF AND DEVELOPMENT
    815 2ND AVENUE 10TH FLOOR
    NEW YORK,NY100174503
      PC CHARITABLE ACTIVITIES 50
    EQUAL JUSTICE INITIATIVE
    122 COMMERCE ST
    MONTGOMERY,AL36104
      PC CHARITABLE ACTIVITIES 30
    EXCHANGE CLUB CENTER FOR THE PREVENTION OF CHILD ABUSE OF NC
    500 W NORTHWEST BOULEVARD
    WINSTON SALEM,NC27105
      PC CHARITABLE ACTIVITIES 225
    EXCHANGE CLUB CENTER FOR THE PREVENTION OF CHILD ABUSE OF NC
    501 W NORTHWEST BOULEVARD
    WINSTON SALEM,NC27105
      PC CHARITABLE ACTIVITIES 7,763
    FAMILY SERVICES INC
    1200 SOUTH BROAD STREET
    WINSTON SALEM,NC27101
      PC CHARITABLE ACTIVITIES 2,250
    FEEDING SOUTH FLORIDA INC
    2501 SW 32ND TER
    PEMBROKE PARK,FL330237707
      PC CHARITABLE ACTIVITIES 75
    FEEDING TEXAS
    1524 SOUTH IH 35 SUITE 342
    AUSTIN,TX787042646
      PC CHARITABLE ACTIVITIES 1,080
    FELLOWSHIP OF CHRISTIAN ATHLETES
    132 RHYNE CT
    CLEMMONS,NC27012
      PC CHARITABLE ACTIVITIES 550
    FERRUM COLLEGE
    PO BOX 1000
    FERRUM,VA240889001
      PC CHARITABLE ACTIVITIES 800
    FIFTY FOUR FOUNDATION
    15 E MALLORY AVE
    MEMPHIS,TN381092519
      PC CHARITABLE ACTIVITIES 500
    FISHER HOUSE FOUNDATION INC
    12300 TWINBROOK PARKWAY SUITE 410
    ROCKVILLE,MD20852
      PC CHARITABLE ACTIVITIES 1,000
    FLIP FAMILY LOVE & INVOLVEMENT PROGRAM INC
    1338 ARGONNE BLVD
    WINSTON SALEM,NC271071407
      PC CHARITABLE ACTIVITIES 1,500
    FLOYD COMMUNITY CENTER FOR THE ARTS INC
    220 PARKWAY LN S STE
    FLOYD,VA240914171
      PC CHARITABLE ACTIVITIES 500
    FOLDS OF HONOR FOUNDATION
    5800 NORTH PATRIOT DRIVE
    OWASSO,OK74055
      PC CHARITABLE ACTIVITIES 100
    FOOD BANK OF CENTRAL & EASTERN NORTH CAROLINA INC
    3808 TARHEEL DRIVE
    RALEIGH,NC276097521
      PC CHARITABLE ACTIVITIES 75
    FORSYTH COUNTRY DAY SCHOOL INC
    5501 SHALLOWFORD RD PO BOX 549
    LEWISVILLE,NC27023
      PC CHARITABLE ACTIVITIES 4,900
    FORSYTH COUNTRY DAY SCHOOL INC
    5502 SHALLOWFORD RD PO BOX 549
    LEWISVILLE,NC27023
      PC CHARITABLE ACTIVITIES 750
    FORSYTH HUMANE SOCIETY
    4881 COUNTRY CLUB ROAD
    WINSTON SALEM,NC27104
      PC CHARITABLE ACTIVITIES 225
    FORSYTH HUMANE SOCIETY
    4882 COUNTRY CLUB ROAD
    WINSTON SALEM,NC27104
      PC CHARITABLE ACTIVITIES 625
    FORSYTH TECHNICAL COMMUNITY COLLEGE FOUNDATION INC
    2100 SILAS CREEK PARKWAY
    WINSTON SALEM,NC27103
      PC CHARITABLE ACTIVITIES 500
    FOUNDATION FIGHTING BLINDNESS
    6925 OAKLAND MILLS ROAD
    COLUMBIA,MD21045
      PC CHARITABLE ACTIVITIES 263
    FOUNDATION OF THE UNIVERSITY OF NORTH CAROLINA AT CHARLOTTE INC
    9201 UNIVERSITY CITY BOULEVARD
    DEVELOPMENT OFFICE
    CHARLOTTE,NC28223
      PC CHARITABLE ACTIVITIES 49
    FRANK BLACK MIDDLE SCHOOL PTO
    1575 CHANTILLY LN
    HOUSTON,TX770184150
      PC CHARITABLE ACTIVITIES 2,033
    FRIENDS OF SHERWOOD FOREST
    1055 YORKSHIRE ROAD
    WINSTON SALEM,NC27106
      PC CHARITABLE ACTIVITIES 470
    FUR-EVER FRIENDS OF NORTH CAROLINA
    POBOX 15742
    WINSTON SALEM,NC27113
      PC CHARITABLE ACTIVITIES 50
    GAINESVILLE JAYCEES CHARITIES INC
    PO BOX 126
    GAINESVILLE,GA305030126
      PC CHARITABLE ACTIVITIES 750
    GIVEMN
    43 SE MAIN ST STE 515
    MINNEAPOLIS,MN554141049
      PC CHARITABLE ACTIVITIES 53
    GODS STOREHOUSE SOUP KITCHEN
    PO BOX 81 GALAX VA 24333-0081
    GALAX,VA243330081
      PC CHARITABLE ACTIVITIES 3,500
    GOODWILL INDUSTRIES OF KENTUCKY INC
    1325 S 4TH ST
    LOUISVILLE,KY402082313
      PC CHARITABLE ACTIVITIES 1,000
    GREENSBORO COLLEGE INC
    815 W MARKET ST
    GREENSBORO,NC274011823
      PC CHARITABLE ACTIVITIES 1,000
    GREENSBORO MONTESSORI SCHOOL
    2856 HORSE PEN CREEK RD
    GREENSBORO,NC27410
      PC CHARITABLE ACTIVITIES 300
    GREENSBORO URBAN MINISTRY
    305 WEST GATE CITY BLVD
    GREENSBORO,NC27406
      PC CHARITABLE ACTIVITIES 50
    GUILFORD URBAN FARMING INITIATIVE
    2226 OAK HILL DR
    GREENSBORO,NC274084018
      PC CHARITABLE ACTIVITIES 6,975
    HABITAT FOR HUMANITY INTERNATIONAL
    322 WEST LAMAR STREET
    AMERICUS,GA31709
      PC CHARITABLE ACTIVITIES 100
    HANDS OF HOPE MEDICAL CLINIC
    PO BOX 62
    YADKINVILLE,NC27055
      PC CHARITABLE ACTIVITIES 500
    HEIFER PROJECT INTERNATIONAL
    1 WORLD AVE
    LITTLE ROCK,AR722022863
      PC CHARITABLE ACTIVITIES 50
    HIGH POINT ARTS COUNCIL INC
    121 S CENTENNIAL ST
    HIGH POINT,NC272605213
      PC CHARITABLE ACTIVITIES 50
    HIGH POINT UNIVERSITY
    1 UNIVERSITY PKWY
    HIGH POINT,NC27262
      PC CHARITABLE ACTIVITIES 55
    HISPANIC FESTIVAL INC
    PO BOX 764
    FLORISSANT,MO63032
      PC CHARITABLE ACTIVITIES 1,000
    HISPANIC FESTIVAL INC
    PO BOX 764
    FLORISSANT,MO63032
      PC CHARITABLE ACTIVITIES 7,000
    HOLLINS UNIVERSITY CORPORATION
    BOX 9629 7916 WILLIAMSON ROAD
    ROANOKE,VA24020
      PC CHARITABLE ACTIVITIES 150
    HOPE OF WINSTON SALEM INC
    355 NW CRAWFORD PLACE
    WINSTON SALEM,NC27105
      PC CHARITABLE ACTIVITIES 950
    HOSPICE & PALLIATIVE CARE OF GREENSBORO
    2500 SUMMIT AVENUE
    GREENSBORO,NC27405
      PC CHARITABLE ACTIVITIES 100
    HOSPICE & PALLIATIVE CARECENTER
    101 HOSPICE LANE
    WINSTON SALEM,NC27103
      PC CHARITABLE ACTIVITIES 250
    HOSPITAL HOSPITALITY HOUSE OF WINSTON SALEM
    1970 BALDWIN LANE
    WINSTON SALEM,NC27103
      PC CHARITABLE ACTIVITIES 3,090
    HOUSTON FOOD BANK
    535 PORTWALL ST
    HOUSTON,TX77029
      PC CHARITABLE ACTIVITIES 103
    HOWARD UNIVERSITY
    1851 9TH ST NW
    WASHINGTON,DC20001
      PC CHARITABLE ACTIVITIES 225
    HUMANE SOCIETY OF DAVIE COUNTY
    P O BOX 937
    MOCKSVILLE,NC27028
      PC CHARITABLE ACTIVITIES 300
    HUNTINGTONS DISEASE SOCIETY OF AMERICA INC
    505 8TH AVE SUITE 902
    NEW YORK,NY100186588
      PC CHARITABLE ACTIVITIES 1,000
    INTER-FAITH FOOD SHUTTLE
    1001 BLAIR DR STE 120
    RALEIGH,NC276033792
      PC CHARITABLE ACTIVITIES 77
    ITS THE JOURNEY INC
    270 CARPENTER DRIVE SUITE 515
    ATLANTA,GA30328
      PC CHARITABLE ACTIVITIES 103
    IVY COMMUNITY SERVICE FOUNDATION OF CARY INC
    PO BOX 5823
    CARY,NC27512
      PC CHARITABLE ACTIVITIES 2,160
    JANE GOODALL INSTITUTE FOR WILDLIFE RESEARCH EDUCATION & CONSERVATION
    1120 20TH ST NW 520S
    WASHINGTON,DC20036
      PC CHARITABLE ACTIVITIES 25
    JDRF INTERNATIONAL
    200 VESSEY ST 28 FL
    NEW YORK,NY10281
      PC CHARITABLE ACTIVITIES 100
    JDRF- PIEDMONT TRIAD CHAPTER
    205 REGENCY EXECUTIVE PARK DRIVE
    102
    CHARLOTTE,NC28217
      PC CHARITABLE ACTIVITIES 100
    JHF RE3 ADOPTION & THERAPY
    689 JOE LAYNE MILL ROAD
    ELKIN,NC28621
      PC CHARITABLE ACTIVITIES 5,300
    KALEIDEUM
    400 W HANES MILL ROAD
    WINSTONSALEM,NC27105
      PC CHARITABLE ACTIVITIES 50
    KINDNESS CONNECTION INC
    8445 W 113TH ST
    OVERLAND PARK,KS662102437
      PC CHARITABLE ACTIVITIES 1,000
    KING MORAVIAN PRESCHOOL
    234 WEST DALTON RD
    KING,NC27021
      PC CHARITABLE ACTIVITIES 150
    KING OUTREACH MINISTRY INC
    PO BOX 1450
    KING,NC27021
      PC CHARITABLE ACTIVITIES 150
    KINGSPORT BALLET
    201 CHEROKEE ST KINGSPORT
    KINGSPORT,TN376604309
      PC CHARITABLE ACTIVITIES 525
    KIPP MEMPHIS COLLEGIATE MIDDLE
    230 HENRY AVENUE
    MEMPHIS,TN38107
      GOV CHARITABLE ACTIVITIES 500
    LADY LIGHTNING
    209 S MADERA DR
    MOCKSVILLE,NC27028
      PC CHARITABLE ACTIVITIES 500
    LEAD GIRLS OF NC INC
    500 W 4TH ST STE 203B
    WINSTON SALEM,NC271012782
      PC CHARITABLE ACTIVITIES 125
    LEAD GIRLS OF NC INC
    500 W 4TH ST STE 203B
    WINSTON SALEM,NC271012782
      PC CHARITABLE ACTIVITIES 5,374
    LEADERSHIP WINSTON-SALEM
    624 WEST SIXTH STREET SUITE 110
    WINSTON SALEM,NC27101
      PC CHARITABLE ACTIVITIES 1,250
    LEUKEMIA & LYMPHOMA SOCIETY
    600 EAST MAIN ST SUITE 102
    LOUISVILLE,KY40202
      PC CHARITABLE ACTIVITIES 175
    LEUKEMIA & LYMPHOMA SOCIETY INC
    3 INTERNATIONAL DRIVE SUITE 200
    RYE BROOK,NY10573
      PC CHARITABLE ACTIVITIES 50
    LEWISVILLE HISTORICAL SOCIETY
    PO BOX 242
    LEWISVILLE,NC270230242
      PC CHARITABLE ACTIVITIES 100
    LIFELINE PREGNANCY HELP CENTER INC
    PO BOX 447
    ELKIN,NC28621
      PC CHARITABLE ACTIVITIES 3,500
    LOYAL ORDER OF MOOSE
    626 FORBES ST
    EDEN,NC27288
      PC CHARITABLE ACTIVITIES 500
    LUCI COLLINS FOUNDATION INC
    1217 PINE HALL RD
    PINE HALL,NC270428100
      PC CHARITABLE ACTIVITIES 100
    MARCH OF DIMES FOUNDATION
    410 BROOKSTOWN AVE
    WINSTON SALEM,NC27101
      PC CHARITABLE ACTIVITIES 31
    MCSP - LAUREL RIDGE CAMP CONFERENCE CENTER
    124 PENDRY DRIVE
    LAUREL SPRINGS,NC28644
      PC CHARITABLE ACTIVITIES 6,000
    MEL TROTTER MINISTRIES
    225 COMMERCE AVE SW
    GRAND RAPIDS,MI495034107
      PC CHARITABLE ACTIVITIES 25
    MEMORIAL SLOAN-KETTERING CANCER CENTER
    1275 YORK AVE
    NEW YORK,NY100170000
      PC CHARITABLE ACTIVITIES 60
    MEMORY CARE
    100 FAR HORIZONS LANE
    ASHEVILLE,NC28803
      PC CHARITABLE ACTIVITIES 100
    MENTAL HEALTH ASSOCIATES OF THE TRIAD
    910 MILL AVE
    HIGH POINT,NC272601628
      PC CHARITABLE ACTIVITIES 50
    MEREDITH COLLEGE
    3800 HILLSBOROUGH STREET
    RALEIGH,NC276075237
      PC CHARITABLE ACTIVITIES 130
    MIDLOTHIAN MINERS WRESTLING INC
    2001 KINGS LYNN RD
    MIDLOTHIAN,VA231137504
      PC CHARITABLE ACTIVITIES 1,000
    MID-SOUTH FOOD BANK
    3865 S PERKINS ROAD
    MEMPHIS,TN38118
      PC CHARITABLE ACTIVITIES 100
    MOJI COFFEE AND MORE
    690 N TRADE STREET
    WINSTON,NC27101
      PC CHARITABLE ACTIVITIES 1,000
    MOJI COFFEE AND MORE
    690 N TRADE STREET
    WINSTON,NC27101
      PC CHARITABLE ACTIVITIES 1,000
    MORAVIAN CHURCH IN AMERICA SOUTHERN PROVINCE - SUNNYSIDE MINISTRIES
    319 HALED ST
    WINSTON SALEM,NC27127
      PC CHARITABLE ACTIVITIES 205
    MORGAN ELEMENTARY SCHOOL PTA
    3210 VILLAGE POINT DRIVE
    CLEMMONS,NC27012
      PC CHARITABLE ACTIVITIES 240
    MOUNT TABOR HIGH SCHOOL
    342 PETREE RD
    WINSTON SALEM,NC27106
      GOV CHARITABLE ACTIVITIES 1,000
    MOUNT VERNON LADIES ASSOCIATION OF THE UNION
    PO BOX 110
    MOUNT VERNON,VA221210110
      PC CHARITABLE ACTIVITIES 100
    MSAA JACKSONVILLE INC
    375 KINGS HWY N
    CHERRY HILL,NJ080341013
      PC CHARITABLE ACTIVITIES 100
    N A A C P LEGAL DEFENSE AND EDUCATIONAL FUND INC
    40 RECTOR STREET NO 5TH FL
    NEW YORK,NY100061738
      PC CHARITABLE ACTIVITIES 25
    NATIONAL FOREST FOUNDATION
    BLDG 27 SUITE 3 FORT MISSOULA ROAD
    MISSOULA,MT598040000
      PC CHARITABLE ACTIVITIES 200
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    733 THIRD AVE 3RD FLOOR
    NEW YORK,NY10004
      PC CHARITABLE ACTIVITIES 100
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    733 THIRD AVENUE 3RD FLOOR
    NEW YORK,NY10017
      PC CHARITABLE ACTIVITIES 3,323
    NATIONAL MULTIPLE SCLEROSIS SOCIETY - GREATER CAROLINAS CHAPTER
    733 3RD AVE THIRD FLOOR
    NEW YORK,NY10017
      PC CHARITABLE ACTIVITIES 500
    NATIONAL SPORTS MEDIA ASSOCIATION INC
    PO BOX 5394
    WINSTON SALEM,NC271135394
      PC CHARITABLE ACTIVITIES 1,250
    NATURAL RESOURCES DEFENSE COUNCIL INC
    40 WEST 20TH STREET
    NEW YORK,NY10011
      PC CHARITABLE ACTIVITIES 25
    NC STUDENT AID ASSOCIATION INC
    PO BOX 37100
    RALEIGH,NC276277100
      PC CHARITABLE ACTIVITIES 1,067
    NEUROHOPE OF INDIANA INC
    6002 SUNNYSIDE RD
    INDIANAPOLIS,IN46236
      PC CHARITABLE ACTIVITIES 620
    NEW HOPE PREGNANCY CARE
    PO BOX 1552 321 W MAIN STREET
    YADKINVILLE,NC270551552
      PC CHARITABLE ACTIVITIES 3,500
    NORTH CAROLINA LEADERSHIP CHARTER ACADEMY INCORPORATED
    4353 HIGH POINT RD
    KERNERSVILLE,NC272849155
      PC CHARITABLE ACTIVITIES 500
    NORTH CAROLINA SCHOOL OF SCIENCE & MATHEMATICS FOUNDATION
    PO BOX 2733
    DURHAM,NC277152733
      PC CHARITABLE ACTIVITIES 500
    NORTH CAROLINA STATE UNIVERSITY FOUNDATION INC
    CAMPUS BOX 7474
    RALEIGH,NC276957474
      PC CHARITABLE ACTIVITIES 750
    NORTH CAROLINA TRANSPORTATION MUSEUM FOUNDATION
    PO BOX 69
    SPENCER,NC281590069
      PC CHARITABLE ACTIVITIES 50
    NORTH DAVIE MIDDLE
    497 FARMINGTON RD
    MOCKSVILLE,NC27028
      GOV CHARITABLE ACTIVITIES 1,000
    NORTH STAR CENTER
    930 BURKE STREET
    WINSTON SALEM,NC271012585
      PC CHARITABLE ACTIVITIES 50
    NORTH STOKES HIGH SCHOOL
    1350 NORTH STOKES SCHOOL ROAD
    DANBURY,NC27016
      GOV CHARITABLE ACTIVITIES 1,000
    NORTHWEST AFRICAN AMERICAN MUSEUM INC
    2300 MASSACHUSETTS STREET
    SEATTLE,WA981443821
      PC CHARITABLE ACTIVITIES 300
    NORTHWEST ELEMENTARY PTO
    400 NORTHWEST ELEMENTARY ROAD
    LEXINGTON,NC27295
      PC CHARITABLE ACTIVITIES 60
    ONE BLUE VILLAGE
    PO BOX 824
    MANALAPAN,NJ07726
      PC CHARITABLE ACTIVITIES 1,000
    ONE TREE PLANTED INC
    145 PINE HAVEN SHORES RD 1000D
    SHELBURNE,VT05482
      PC CHARITABLE ACTIVITIES 858
    OPEN ARMS COMMUNITY INC
    437 E SPRAGUE ST
    WINSTON SALEM,NC271273107
      PC CHARITABLE ACTIVITIES 250
    ORANGUTAN FOUNDATION INTERNATIONAL
    824 WELLESLEY AVE
    LOS ANGELES,CA900495213
      PC CHARITABLE ACTIVITIES 25
    PEACEABLE PRIMATE SANTUARY
    6415 N 800 W
    WINAMAC,IN469968280
      PC CHARITABLE ACTIVITIES 60
    PIEDMONT ENVIRONMENTAL ALLIANCE INC
    1959 N PEACE HAVEN ROAD 257
    WINSTON SALEM,NC27106
      PC CHARITABLE ACTIVITIES 560
    PINE LAKE PREPARATORY INC
    104 YELLOW WOOD CIR
    MOORESVILLE,NC281156100
      PC CHARITABLE ACTIVITIES 812
    PINEBROOK ELEMENTARY
    477 PINEBROOK SCHOOL ROAD
    MOCKSVILLE,NC27028
      GOV CHARITABLE ACTIVITIES 1,000
    PIVOT MINISTRY INC
    501 MILLER ST
    WINSTON SALEM,NC271033610
      PC CHARITABLE ACTIVITIES 200
    PLAYING FOR A PURPOSE
    108 KENTMERE LN
    CLOVER,SC297107856
      PC CHARITABLE ACTIVITIES 7,000
    PTA FLORIDA CONGRESS - SABAL POINT ELEMENTARY
    960 WEKIVA SPRGS RD
    LONGWOOD,FL327792502
      PC CHARITABLE ACTIVITIES 60
    PTA NC CONGRESS-PINEY GROVE ELEMENTARY PTA
    1500 PINEY GROVE ROAD
    KERNERSVILLE,NC27284
      PC CHARITABLE ACTIVITIES 120
    PTA NORTH CAROLINA CONGRESS - DOWNTOWN SCHOOL PTA
    601 N CHERRY ST
    WINSTONSALEM,NC27101
      PC CHARITABLE ACTIVITIES 90
    PTA NORTH CAROLINA CONGRESS - MEADOWLARK ELEMENTARY SCHOOL PTA
    401 MEADOWLARK DRIVE
    WINSTON SALEM,NC27106
      PC CHARITABLE ACTIVITIES 300
    PTA NORTH CAROLINA CONGRESS - MT TABOR HIGH SCHOOL PTSA
    342 PETREE ROAD
    WINSTON SALEM,NC27106
      PC CHARITABLE ACTIVITIES 1,000
    PTA NORTH CAROLINA CONGRESS - SHERWOOD FOREST ELEMENTARY SCHOOL PTA
    1055 YORKSHIRE RD
    WINSTON SALEM,NC27106
      PC CHARITABLE ACTIVITIES 100
    PTA NORTH CAROLINA CONGRESS - WEST FORSYTH HIGH SCHOOL PTSA
    1735 LEWISVILLE CLEMMONS ROAD
    CLEMMONS,NC27012
      PC CHARITABLE ACTIVITIES 50
    PTA NORTH CAROLINA CONGRESS-JEFFERSON ELEMENTARY PTA
    4000 JEFFERSON SCHOOL LANE
    WINSTONSALEM,NC27106
      PC CHARITABLE ACTIVITIES 250
    PTA NORTH CAROLINA CONGRESS-VIENNA ELEMENTARY SCHOOL PTA
    1975 CHICKASHA DRIVE
    PFAFFTOWN,NC27040
      PC CHARITABLE ACTIVITIES 208
    PTA NORTH CAROLINA-SOUTHWEST ELEMENTARY PTA
    1631 SW SCHOOL RD
    CLEMMONS,NC270129204
      PC CHARITABLE ACTIVITIES 50
    PURDUE RESEARCH FOUNDATION DBA PURDUE FOUNDATION INC
    403 WEST WOOD STREET
    WEST LAFAYETTE,IN47907
      PC CHARITABLE ACTIVITIES 500
    QUINNIPIAC UNIVERSITY
    275 MOUNT CARMEL AVENUE
    HAMDEN,CT06518
      PC CHARITABLE ACTIVITIES 250
    REBIRTH HOMES
    PO BOX 2291
    RIVERSIDE,CA925162291
      PC CHARITABLE ACTIVITIES 928
    RED DOG FARM ANIMAL RESCUE NETWORK
    8653 NC HWY 65
    STOKESDALE,NC27357
      PC CHARITABLE ACTIVITIES 100
    RED HEARRT HELP EDUCATE AND REDUCE RISK TODAY
    7092 ORCHARD PATH DR
    CLEMMONS,NC270128222
      PC CHARITABLE ACTIVITIES 200
    REDEEMER SCHOOL INC
    1013 MELROSE STREET
    WINSTON SALEM,NC27103
      PC CHARITABLE ACTIVITIES 7,000
    REFUGE CHURCH SOUTHERN PINES
    855 W INDIANA AVE
    SOUTHERN PINES,NC28387
      PC CHARITABLE ACTIVITIES 1,000
    RONALD MCDONALD HOUSE CHARITIES OF THE PIEDMONT TRIAD INC
    419 S HAWTHORNE ROAD
    WINSTONSALEM,NC27103
      PC CHARITABLE ACTIVITIES 275
    RONALD W REAGAN HIGH SCHOOL
    3750 TRANSOU ROAD
    PFAFFTOWN,NC27040
      GOV CHARITABLE ACTIVITIES 1,000
    RUFF LOVE FOSTER CARE AND DOG RESCUE
    PO BOX 2013
    THOMASVILLE,NC27361
      PC CHARITABLE ACTIVITIES 25
    RURAL WORLD IMPETUS INC
    1205 CANE RIDGE LANE
    LEWISVILLE,NC27023
      PC CHARITABLE ACTIVITIES 600
    RURAL WORLD IMPETUS INC
    1205 CANE RIDGE LANE
    LEWISVILLE,NC27023
      PC CHARITABLE ACTIVITIES 704
    SACRED BEGINNINGS TRANSITIONALHOMES
    PO BOX 9472
    WYOMING,MI495090472
      PC CHARITABLE ACTIVITIES 100
    SACRED HEART SCHOOLS INC
    3177 LEXINGTON RD
    LOUISVILLE,KY40206
      PC CHARITABLE ACTIVITIES 500
    SALEM PREGNANCY SUPPORT INC
    1342 WESTGATE CENTER DRIVE
    WINSTON SALEM,NC27103
      PC CHARITABLE ACTIVITIES 300
    SALVATION ARMY CENTER OF HOPE
    1255 NORTH TRADE STREET
    WINSTONSALEM,NC27101
      PC CHARITABLE ACTIVITIES 1,130
    SALVATION ARMY NATIONAL CORP - NC AREA COMMAND
    PO BOX 1205
    WINSTON SALEM,NC271021205
      PC CHARITABLE ACTIVITIES 770
    SAMARITAN MINISTRIES
    414 E NORTHWEST BLVD
    WINSTON SALEM,NC271056063
      PC CHARITABLE ACTIVITIES 400
    SAMARITAN MINISTRIES
    414 E NORTHWEST BLVD
    WINSTONSALEM,NC27105
      PC CHARITABLE ACTIVITIES 200
    SAMARITAN MINISTRIES
    414 E NORTHWEST BLVD
    WINSTONSALEM,NC27105
      PC CHARITABLE ACTIVITIES 200
    SAMARITAN'S PURSE
    PO BOX 3000
    BOONE,NC28607
      PC CHARITABLE ACTIVITIES 900
    SAMARITAN'S PURSE
    PO BOX 3000
    BOONE,NC28607
      PC CHARITABLE ACTIVITIES 4,050
    SANDIS KIDS - LAKEISHA VEAL
    11536 BALTIMORE AVE
    KANSAS CITY,MO641145554
      PC CHARITABLE ACTIVITIES 1,000
    SECOND HARVEST FOOD BANK OF NORTHWEST NORTH CAROLINA INC
    3655 REED STREET
    WINSTON SALEM,NC27107
      PC CHARITABLE ACTIVITIES 4,800
    SECOND HARVEST FOOD BANK OF NORTHWEST NORTH CAROLINA INC
    3655 REED STREET
    WINSTON SALEM,NC27107
      PC CHARITABLE ACTIVITIES 15,368
    SENIOR SERVICES INCORPORATED
    2895 SHOREFAIR DRIVE
    WINSTON SALEM,NC27105
      PC CHARITABLE ACTIVITIES 1,180
    SENIOR SERVICES INCORPORATED
    2895 SHOREFAIR DRIVE
    WINSTON SALEM,NC27105
      PC CHARITABLE ACTIVITIES 3,861
    SHADY GROVE ELEMENTARY PTO
    3179 CORNATZER ROAD
    ADVANCE,NC27006
      PC CHARITABLE ACTIVITIES 60
    SHRINERS HOSPITALS FOR CHILDREN
    2900 N ROCKY POINT DR
    TAMPA,FL336071435
      PC CHARITABLE ACTIVITIES 600
    SJ STINGERS
    539 CINCINNATI AVENUE
    EGG HARBOR CITY,NJ08215
      PC CHARITABLE ACTIVITIES 1,000
    SOLUS CHRISTUS INC
    2552 BALTIMORE ROAD
    EAST BEND,NC27018
      PC CHARITABLE ACTIVITIES 1,000
    SOMERSET COMMUNITY COLLEGE FOUNDATION INC
    808 MONTICELLO STREET
    SOMERSET,KY42501
      PC CHARITABLE ACTIVITIES 2,550
    SOUTH CAROLINA WATERFOWL ASSOCIATION
    9833 OLD RIVER RD
    PINEWOOD,SC291259684
      PC CHARITABLE ACTIVITIES 500
    SOUTH JERSEY SHARKS
    5042 TREMONT AVE
    EGG HARBOR TOWNSHIP,NJ08234
      PC CHARITABLE ACTIVITIES 1,000
    SOUTHEASTERN STOKES YOUTH SOCCER ASSOCIATION
    PO BOX 1185
    WALNUT COVE,NC270521185
      PC CHARITABLE ACTIVITIES 1,000
    SOUTHERN POVERTY LAW CENTER INC
    400 WASHINGTON AVENUE
    MONTGOMERY,AL36104
      PC CHARITABLE ACTIVITIES 25
    SPECIAL OLYMPICS PENNSYLVANIA INC
    2570 BLVD OF THE GENERALS
    NORRISTOWN,PA194033675
      PC CHARITABLE ACTIVITIES 285
    SPRINGTHEATRE
    5770 NOVACK STREET
    WINSTONSALEM,NC27105
      PC CHARITABLE ACTIVITIES 3,990
    ST ANTHONY EDUCATIONAL FOUNDATION INC
    PO BOX 876
    ITHACA,NY14851
      PC CHARITABLE ACTIVITIES 150
    ST BALDRICKS FOUNDATION INC
    1333 SOUTH MAYFLOWER AVENUE SUITE
    400
    MONROVIA,CA91016
      PC CHARITABLE ACTIVITIES 50
    ST JUDE CHILDRENS RESEARCH HOSPITAL INC
    262 DANNY THOMAS PLACE MS512
    MEMPHIS,TN381053678
      PC CHARITABLE ACTIVITIES 2,570
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    262 DANNY THOMAS PL MSC 512
    MEMPHIS,TN381053678
      PC CHARITABLE ACTIVITIES 50
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    262 DANNY THOMAS PL MSC 512
    MEMPHIS,TN381053678
      PC CHARITABLE ACTIVITIES 1,626
    ST PETER'S WORLD OUTREACH CENTER INC
    3683 OLD LEXINGTON ROAD
    WINSTON SALEM,NC27107
      PC CHARITABLE ACTIVITIES 1,500
    STARMOUNT HIGH SCHOOL ATHLETIC BOOSTERS CLUB
    2516 LONGTOWN RD
    BOONVILLE,NC27011
      PC CHARITABLE ACTIVITIES 500
    STEPHEN SILLER TUNNEL TO TOWERS FOUNDATION
    2361 HYLAN BLVD
    STATEN ISLAND,NY103063100
      PC CHARITABLE ACTIVITIES 1,000
    STEPPING STONES CANINE RESCUE
    4212 SALEM LANDING CT
    WINSTON SALEM,NC271014568
      PC CHARITABLE ACTIVITIES 100
    STOKES COUNTY ARTS COUNCIL INC
    PO BOX 66
    DANBURY,NC270160066
      PC CHARITABLE ACTIVITIES 500
    STOKES FAMILY YMCA
    105 MOORE DR
    KING,NC27021
      PC CHARITABLE ACTIVITIES 100
    STORYVILLE CENTER FOR THE SPOKEN WORD INC
    75 BROAD ST STE 2601
    NEW YORK,NY100042482
      PC CHARITABLE ACTIVITIES 100
    SUMMIT SCHOOL INC
    2100 REYNOLDA ROAD
    WINSTON SALEM,NC271065115
      PC CHARITABLE ACTIVITIES 250
    SUMMIT SCHOOL INC
    2100 REYNOLDA ROAD
    WINSTON SALEM,NC271065115
      PC CHARITABLE ACTIVITIES 1,300
    TAKE THE LEAD NORTH CAROLINA
    711 COLISEUM PLAZA COURT
    WINSTON SALEM,NC27106
      PC CHARITABLE ACTIVITIES 470
    THE BOYS & GIRLS CLUB OF GREATER PEORIA INC
    806 E KANSAS ST
    PEORIA,IL616032618
      PC CHARITABLE ACTIVITIES 1,000
    THE CENTERS FOR EXCEPTIONAL CHILDREN INC
    2315 COLISEUM DRIVE
    WINSTONSALEM,NC27106
      PC CHARITABLE ACTIVITIES 2,500
    THE CHILDREN'S ONCOLOGY GROUP FOUNDATION INC
    3501 CIVIC CENTER BLVD CTRB 10060
    PHILADELPHIA,PA19104
      PC CHARITABLE ACTIVITIES 25
    THE CORPORATION OF MERCER UNIVERSITY
    1501 MERCER UNIVERSITY DR
    MACON,GA312070001
      PC CHARITABLE ACTIVITIES 500
    THE DAVID SHELDRICK WILDLIFE TRUST USA INC
    25283 CABOT RD STE 101
    LAGUNA HILLS,CA926535509
      PC CHARITABLE ACTIVITIES 25
    THE DOWNTOWN SCHOOL
    601 NORTH CHERRY ST
    WINSTONSALEM,NC27101
      GOV CHARITABLE ACTIVITIES 25
    THE LEUKEMIA & LYMPHOMA SOCIETY RESEARCH FOUNDATION
    3 INTERNATIONAL DRIVE STE 200
    RYE BROOK,NY105737500
      PC CHARITABLE ACTIVITIES 100
    THE MULTIPLE MYELOMA RESEARCH FOUNDATION INC
    383 MAIN AVENUE 5TH FLOOR
    NORWALK,CT06851
      PC CHARITABLE ACTIVITIES 100
    THE NORTH CAROLINA A & T UNIVERSITY FOUNDATION INC
    1601 E MARKET STREET 400 DOWDY BLDG
    GREENSBORO,NC27411
      PC CHARITABLE ACTIVITIES 1,250
    THE NORTH CAROLINA A & T UNIVERSITY FOUNDATION INC
    1601 E MARKET STREET 400 DOWDY BLDG
    GREENSBORO,NC27411
      PC CHARITABLE ACTIVITIES 100
    THE NORTH CAROLINA PUBLIC TELEVISION FOUNDATION INC
    PO BOX 12231
    RTP,NC27709
      PC CHARITABLE ACTIVITIES 100
    THE PENNSYLVANIA STATE UNIVERSITY
    2583 GATEWAY DRIVE SUITE 130
    STATE COLLEGE,PA168013098
      GOV CHARITABLE ACTIVITIES 2,339
    THE PREEMPTIVE LOVE COALITION
    1300 DARBYTOWN DRIVE
    HEWITT,TX766433986
      PC CHARITABLE ACTIVITIES 412
    THE SALVATION ARMY
    4700 MANOR RD
    AUSTIN,TX78723
      PC CHARITABLE ACTIVITIES 105
    THE SALVATION ARMY
    2100 REYNOLDS PARK RD
    WINSTON SALEM,NC27107
      PC CHARITABLE ACTIVITIES 120
    THE SALVATION ARMY - EMERGENCY DISASTER SERVICES
    1424 NORTHEAST EXPRESSWAY
    ATLANTA,GA30329
      PC CHARITABLE ACTIVITIES 520
    THE SHALOM PROJECT INC
    639 S GREEN ST
    WINSTON SALEM,NC271015109
      PC CHARITABLE ACTIVITIES 100
    THE WINSTON-SALEM FOUNDATION
    751 W 4TH ST SUITE 200
    WINSTON SALEM,NC271012702
      PC CHARITABLE ACTIVITIES 105
    THE WINSTON-SALEM FOUNDATION
    751 W 4TH ST SUITE 200
    WINSTON SALEM,NC271012702
      PC CHARITABLE ACTIVITIES 50
    THEODORE ROOSEVELT MEDORA FOUNDATION
    PO BOX 1696
    BISMARCK,ND58502
      PC CHARITABLE ACTIVITIES 335
    TRACING PUBLIC SPACES INC
    1415 SAINT GABRIELLE LN APT 3709
    WESTON,FL333264031
      PC CHARITABLE ACTIVITIES 2,000
    TRINITY WESLEYAN CHURCH
    9709 ALLISONVILLE ROAD
    INDIANAPOLIS,IN46250
      PC CHARITABLE ACTIVITIES 550
    TUNGSTEN BAPTIST CHURCH
    PO BOX 703
    HENDERSON,NC27536
      PC CHARITABLE ACTIVITIES 1,000
    UNBOUND
    1 ELMWOOD AVE
    KANSAS CITY,KS661032118
      PC CHARITABLE ACTIVITIES 456
    UNC-G EXCELLENCE FOUNDATION
    PO BOX 26170
    GREENSBORO,NC274026170
      PC CHARITABLE ACTIVITIES 75
    UNITED STATES FUND FOR UNICEF
    125 MAIDEN LANE
    NEW YORK,NY10038
      PC CHARITABLE ACTIVITIES 398
    UNITED WAY OF FORSYTH COUNTY INC
    301 NORTH MAIN STREET SUITE 1700
    WINSTON SALEM,NC271013838
      PC CHARITABLE ACTIVITIES 500
    UNITED WAY OF FORSYTH COUNTY INC
    301 NORTH MAIN STREET SUITE 1700
    WINSTON SALEM,NC271013838
      PC CHARITABLE ACTIVITIES 50
    UNIVERSITY OF GEORGIA ATHLETIC ASSOCIATION INC
    PO BOX 1472
    ATHENS,GA30603
      PC CHARITABLE ACTIVITIES 250
    UNIVERSITY OF GEORGIA FOUNDATION
    1 PRESS PLACE SUITE 101
    ATHENS,GA306025582
      PC CHARITABLE ACTIVITIES 150
    UNIVERSITY OF MISSISSIPPI FOUNDATION
    406 UNIVERSITY AVE
    OXFORD,MS38655
      PC CHARITABLE ACTIVITIES 1,170
    UNIVERSITY OF NORTH CAROLINA AT ASHEVILLE FOUNDATION INC
    1 UNIVERSITY HTS CPO 3800
    ASHEVILLE,NC288043251
      PC CHARITABLE ACTIVITIES 4,000
    UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
    PO BOX 309
    CHAPEL HILL,NC275140309
      PC CHARITABLE ACTIVITIES 750
    UPTURN ARTS
    1719 TOLEDANO ST
    NEW ORLEANS,LA70119
      PC CHARITABLE ACTIVITIES 14
    US CATHOLIC CONFERENCE - VJ & ANGELA SKUTT CATHOLIC HIGH SCHOOL
    3131 S 156TH ST
    OMAHA,NE68130
      PC CHARITABLE ACTIVITIES 675
    VANDERBILT UNIVERSITY
    2301 VANDERBILT PL
    NASHVILLE,TN37240
      PC CHARITABLE ACTIVITIES 50
    VERA HOUSE FOUNDATION INC
    723 JAMES ST
    SYRACUSE,NY132032001
      PC CHARITABLE ACTIVITIES 1,325
    VETERANS OF FOREIGN WARS OF THE UNITED STATES DEPT OF NC
    151 KESWICK DR
    ADVANCE,NC27006
      PC CHARITABLE ACTIVITIES 1,000
    VETPAW INC
    41 MAIDSON AVE SUITE 3100
    NEW YORK,NY100102202
      PC CHARITABLE ACTIVITIES 25
    VICTORY JUNCTION GANG CAMP
    4500 ADAMS WAY
    RANDLEMAN,NC27317
      PC CHARITABLE ACTIVITIES 100
    VIRGINIA TEAM PREDATOR INC
    851 DISPATCH RD
    QUINTON,VA23141
      PC CHARITABLE ACTIVITIES 1,000
    WAKE FOREST UNIVERSITY
    1834 WAKE FOREST ROAD BOX 7227
    WINSTON SALEM,NC27109
      PC CHARITABLE ACTIVITIES 2,253
    WAKE FOREST UNIVERSITY - WFDD RADIO
    1834 WAKE FOREST ROAD BOX 7227
    WINSTON SALEM,NC27109
      PC CHARITABLE ACTIVITIES 120
    WALDRON JUNIOR-SENIOR HIGH SCHOOL
    102 N EAST ST
    WALDRON,IN46182
      GOV CHARITABLE ACTIVITIES 1,000
    WALKERTOWN HIGH SCHOOL ATHLETIC BOOSTER CLUB
    5240 SULLIVANTOWN RD
    WALKERTOWN,NC270519415
      PC CHARITABLE ACTIVITIES 500
    WARREN NEW TECH HIGH SCHOOL
    219 HIGHWAY 158 BYPASS
    WARRENTON,NC27589
      GOV CHARITABLE ACTIVITIES 1,000
    WASHINGTON & LEE UNIVERSITY
    204 W WASHINGTON ST
    LEXINGTON,VA24450
      PC CHARITABLE ACTIVITIES 2,500
    WEST DOVER ELEMENTARY PARENT TEACHERS ORGANIZATION
    50 BLUE JAY DR
    TOMS RIVER,NJ087558004
      PC CHARITABLE ACTIVITIES 1,000
    WEST SALEM NEIGHBORHOOD ASSOCIATION INC
    932 WALNUT ST
    WINSTON SALEM,NC27101
      PC CHARITABLE ACTIVITIES 200
    WESTCHESTER COUNTRY DAY SCHOOL
    2045 N OLD GREENSBORO RD
    HIGH POINT,NC27265
      PC CHARITABLE ACTIVITIES 1,250
    WHAS CRUSADE FOR CHILDREN INC
    520 W CHESTNUT STREET
    LOUISVILLE,KY40202
      PC CHARITABLE ACTIVITIES 100
    WHITAKER ELEMENTARY SCHOOL CIRCLE OF COMMITMENT INC
    2600 BUENA VISTA RD
    WINSTON SALEM,NC271042106
      PC CHARITABLE ACTIVITIES 330
    WIKIMEDIA FOUNDATION INC
    PO BOX 98204
    WASHINGTON,DC20090
      PC CHARITABLE ACTIVITIES 25
    WINGATE UNIVERSITY
    PO BOX 159
    WINGATE,NC281749665
      PC CHARITABLE ACTIVITIES 100
    WINSTON SALEM RESCUE MISSION
    PO BOX 595
    WINSTON SALEM,NC271020595
      PC CHARITABLE ACTIVITIES 1,000
    WINSTON SALEM RESCUE MISSION
    PO BOX 595
    WINSTON SALEM,NC271020595
      PC CHARITABLE ACTIVITIES 900
    WINSTON SALEM STATE UNIV ALUMNI
    601 S MARTIN LUTHER KING JR DR
    WINSTON SALEM,NC271100003
      PC CHARITABLE ACTIVITIES 1,500
    WINSTON SALEM SYMPHONY ASSOCIATION
    201 N BROAD STREET SUITE 200
    WINSTON SALEM,NC27101
      PC CHARITABLE ACTIVITIES 250
    WINSTON SALEM THEATRE ALLIANCE INC
    1047 NORTHWEST BLVD
    WINSTONSALEM,NC27101
      PC CHARITABLE ACTIVITIES 1,000
    WINSTON-SALEM INDUSTRIES FOR THE BLIND INC
    7730 N POINT BLVD
    WINSTON SALEM,NC271063310
      PC CHARITABLE ACTIVITIES 1,800
    WINSTON-SALEM STATE UNIVERSITY
    601 S MARTIN LUTHER KING JR DR
    WINSTON SALEM,NC27110
      PC CHARITABLE ACTIVITIES 100
    WINSTON-SALEM STREET SCHOOL
    630 WEST 6TH STREET SUITE 101
    WINSTON SALEM,NC27101
      PC CHARITABLE ACTIVITIES 1,200
    WINTHROP UNIVERSITY FOUNDATION
    302 TILMAN HALL
    ROCK HILL,SC29733
      PC CHARITABLE ACTIVITIES 1,500
    WOMEN AT THE WELL MINISTRIES
    881 COUNTY ROAD 655
    ATHENS,TN373036201
      PC CHARITABLE ACTIVITIES 500
    WORLD RELIEF CORP OF NATIONAL ASSOCIATION OF EVANGELICALS
    7 E BALTIMORE ST
    BALTIMORE,MD21202
      PC CHARITABLE ACTIVITIES 300
    WORLD VISION INC
    PO BOX 9716
    FEDERAL WAY,WA980639716
      PC CHARITABLE ACTIVITIES 410
    WOUNDED WARRIOR PROJECT INC
    4899 BELFORT ROAD SUITE 300
    JACKSONVILLE,FL322566938
      PC CHARITABLE ACTIVITIES 50
    XAVIER UNIVERSITY OF LOUISIANA
    1 DREXEL DR - CAMPUST BOX 66
    NEW ORLEANS,LA701251056
      PC CHARITABLE ACTIVITIES 411
    YADKIN ARTS COUNCIL INC
    PO BOX 667
    YADKINVILLE,NC27055
      PC CHARITABLE ACTIVITIES 300
    YMCA OF NORTHWEST NC FORSYTH
    301 N MAIN ST SUITE 1900
    WINSTONSALEM,NC27101
      PC CHARITABLE ACTIVITIES 3,100
    YMCA OF NORTHWEST NORTH CAROLINA
    1150 S PEACE HAVEN ROAD
    CLEMMONS,NC27012
      PC CHARITABLE ACTIVITIES 100
    YOUNG LIFE OF THE FOOTHILLS
    PO BOX 327
    MOUNT AIRY,NC27030
      PC CHARITABLE ACTIVITIES 750
    YOUNG MENS CHRISTIAN ASSOCIATION OF GREENSBORO INC - HAYES TAYLOR MEMORIAL
    2630 EAST FLORIDA ST
    GREENSBORO,NC27401
      PC CHARITABLE ACTIVITIES 50
    YOUNG MENS CHRISTIAN ASSOCIATION OF NORTHWEST NORTH CAROLINA
    301 N MAIN ST STE 1900
    WINSTON SALEM,NC271013890
      PC CHARITABLE ACTIVITIES 530
    YOUNG MENS CHRISTIAN ASSOCIATION OF NORTHWEST NORTH CAROLINA
    301 N MAIN ST STE 1900
    WINSTON SALEM,NC271013890
      PC CHARITABLE ACTIVITIES 2,250
    YOUNG MENS CHRISTIAN ASSOCIATION OF NORTHWEST NORTH CAROLINA - FULTON FAMIL
    385 WEST HANES MILL ROAD
    WINSTON SALEM,NC27105
      PC CHARITABLE ACTIVITIES 1,000
    YOUNG WOMENS CHRISTIAN ASSOCIATION OF WINSTON-SALEM & FORSYTH COUNTY
    313 INDERA MILLS COURT
    WINSTON SALEM,NC27101
      PC CHARITABLE ACTIVITIES 500
    Total .................................bullet 3a 1,311,757
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
        14 69  
    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 ............
        14 769,829  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 1,610,004 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,610,004
    (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:
    REYNOLDS AMERICAN FOUNDATION
    EIN:
    58-1681920
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 23,477 0 0 0

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    REYNOLDS AMERICAN FOUNDATION
    EIN:
    58-1681920
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCK 60,329,035 60,329,035

    TY 2021 OtherAssetsSchedule
    Name:
    REYNOLDS AMERICAN FOUNDATION
    EIN:
    58-1681920
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ACCRUED INCOME 64,364 58,686 58,686


    TY 2021 OtherExpensesSchedule
    Name:
    REYNOLDS AMERICAN FOUNDATION
    EIN:
    58-1681920
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MISCELLANEOUS EXPENSE 2,000 0 0 0
    OTHER DEDUCTIONS FROM PSHIPS 0 24,824 0 0


    TY 2021 OtherIncomeSchedule2
    Name:
    REYNOLDS AMERICAN FOUNDATION
    EIN:
    58-1681920
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
      0 20,083 0


    TY 2021 OtherIncreasesSchedule
    Name:
    REYNOLDS AMERICAN FOUNDATION
    EIN:
    58-1681920
    Description Amount
    UNREALIZED GAIN ON INVESTMENTS 5,218,222


    TY 2021 OtherLiabilitiesSchedule
    Name:
    REYNOLDS AMERICAN FOUNDATION
    EIN:
    58-1681920
    Description Beginning of Year - Book Value End of Year - Book Value
    MISC. ACCRUED LIABILITIES 99,841 60,484


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    REYNOLDS AMERICAN FOUNDATION
    EIN:
    58-1681920
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 219,233 219,233 0 0
    CHARITABLE DISBMT CONSULTING 35,635 0 0 35,635


    TY 2021 TaxesSchedule
    Name:
    REYNOLDS AMERICAN FOUNDATION
    EIN:
    58-1681920
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAXES 85,001 0 0 0